Organization
HOSPICE ADVANTAGE, LLC.
Active
Other names
Hospice Advantage, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KAYE MYNSBERGE (COO)
(989) 891-2210
Entity
Organization
Contact information
Practice address
2620 FORUM BLVD, SUITE E, COLUMBIA, MO 65203-5454
(573) 442-9104
(573) 442-9124
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
203-HO
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144526641
—
MO
Enumeration date
01/31/2011
Last updated
07/02/2014
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