Organization
HOSPICE ADVANTAGE, LLC
Active
Other names
Hospice Advantage, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KAYANNE MYNSBERGE (COO)
(989) 891-2210
Entity
Organization
Contact information
Practice address
951 MAIN ST, SUITE 120, UNION GROVE, WI 53182-1039
(262) 864-4145
(262) 864-4209
Mailing address
401 CENTER AVE, BAY CITY, MI 48708-5939
(989) 891-2206
(989) 893-5268
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2017
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43190800
—
WI
Enumeration date
09/01/2006
Last updated
01/15/2013
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