# NADINE FISH INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811132707
- **Authorized official:** NADINE RENEE FISH LMSW, CAADC (PRESIDENT)
- **Authorized official phone:** (269) 325-0000

## Contact information

- **Practice address:** 1601 W CENTRE AVE LOWR 105, PORTAGE, MI 49024-6307
- **Practice address phone:** (269) 325-0000
- **Practice address fax:** (269) 985-0247
- **Mailing address:** 2816 WILLA DR, SAINT JOSEPH, MI 49085-2555
- **Mailing address phone:** (269) 325-0000
- **Mailing address fax:** (269) 985-0247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2008
- **Last updated:** 03/17/2018