Organization
HOSPICE OF LENAWEE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS J HAVENS BS, CDP (PRESIDENT & CEO)
(517) 263-2323
Entity
Organization
Contact information
Practice address
1903 WOLF CREEK HWY, ADRIAN, MI 49221-8460
(517) 263-2323
(517) 263-1425
Mailing address
1903 WOLF CREEK HWY, ADRIAN, MI 49221-8460
(517) 263-2323
(517) 263-1425
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
463510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08771
BLUE CROSS BLUE SHIELD
MI
05
—
2720163
—
MI
01
—
463510
STATE OF MICHIGAN LICENSE
MI
Enumeration date
03/08/2007
Last updated
08/12/2019
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