Organization
O P HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA WAGNER (PRESIDENT)
(248) 799-6133
Entity
Organization
Contact information
Practice address
24293 TELEGRAPH RD, STE 102, SOUTHFIELD, MI 48034-7905
(248) 799-6133
Mailing address
24293 TELEGRAPH RD, STE 102, SOUTHFIELD, MI 48034-7905
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08728
BLUE CROSS OF MI
MI
05
—
4699855
—
MI
Enumeration date
06/14/2005
Last updated
05/20/2020
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