Organization Name: | NADINE FISH INC |
NPI Number: | 1811132707 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NADINE FISH (PRESIDENT) |
Mailing Address: | 8175 Creekside Dr Ste 200 Portage |
State: | MI US |
Postal Code: | 490245370 |
Phone Number: | 2693755466 |
Fax Number: | 2699851247 |
NPI Enumeration Date: | 12/08/2008 |
NPI Last Update Date: | 12/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |