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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