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Organization

HOSPICE ADVANTAGE, INC

Active
Other names
Home Advantage
Organization subpart
No

Provider details

NPI number
Authorized official
KAYEANNE MYNSBERGE (COO)
(989) 891-2206
Entity
Organization

Contact information

Practice address
21415 CIVIC CENTER DR, SUITE 122, SOUTHFIELD, MI 48076-3909
(248) 440-1301
(248) 440-1302
Mailing address
401 CENTER AVE, BAY CITY, MI 48708-5939
(989) 891-2206
(989) 893-5268

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15-5192557
MI
Enumeration date
08/10/2005
Last updated
02/23/2009
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