Organization
HOSPICE CARE OF SOUTHWEST MICHIGAN
Active
Organization
HOSPICE CARE OF SOUTHWEST MICHIGAN
Active
Other names
Hospice of Greater Kalamazoo
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MCCORMICK (CHIEF EXECUTIVE OFFICER)
(269) 345-0273
Entity
Organization
Contact information
Practice address
222 N KALAMAZOO MALL, SUITE 100, KALAMAZOO, MI 49007-3881
(269) 345-0273
(269) 345-8522
Mailing address
222 N KALAMAZOO MALL, SUITE 100, KALAMAZOO, MI 49007-3882
(269) 345-0273
(269) 345-8522
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
393510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08710
BLUE CROSS BLUE SHIELD
MI
05
—
1791732
—
MI
Enumeration date
05/03/2006
Last updated
07/17/2019
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