Organization
OP HOSPICE, INC
Active
Organization
OP HOSPICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA WAGNER (PRESIDENT)
(800) 311-5365
Entity
Organization
Contact information
Practice address
24293 TELEGRAPH RD, SUITE 102, SOUTHFIELD, MI 48034-3011
(800) 311-5365
Mailing address
24293 TELEGRAPH RD, SUITE 102, SOUTHFIELD, MI 48034-3011
(800) 311-5365
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3203132
—
MI
Enumeration date
11/21/2006
Last updated
09/24/2009
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