Organization
SUPERIOR TRANSITIONAL CARE-OHIO LLC
Active
Other names
Great Lakes Caring
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND F HANSEN M.D. (MEMBER)
(517) 780-9500
Entity
Organization
Contact information
Practice address
1530 W MARKET ST, AKRON, OH 44313-7141
(888) 260-9835
Mailing address
900 COOPER ST, JACKSON, MI 49202-3398
(517) 780-9500
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
35.098912
OH
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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