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Organization
RESIDENTIAL HOSPICE, LLC
Active
Organization
RESIDENTIAL HOSPICE, LLC
Active
Other names
Residential Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DEWITTE (CEO)
(866) 902-4000
Entity
Organization
Contact information
Practice address
1745 INDIAN WOOD CIR STE 252, MAUMEE, OH 43537-4168
(567) 218-2075
(855) 618-6655
Mailing address
5440 CORPORATE DR STE 400, TROY, MI 48098-2645
(866) 902-4000
(866) 903-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
11/09/2023
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