Organization
HOSPICE ADVANTAGE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL ADKINS (SVP GENERAL COUNSEL)
(615) 309-5668
Entity
Organization
Contact information
Practice address
3217 W M 76, SUITE B, WEST BRANCH, MI 48661-9179
(989) 343-2470
(989) 343-2471
Mailing address
10 CADILLAC DR STE 400, BRENTWOOD, TN 37027-1001
(615) 377-7022
(615) 373-4457
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
823522
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01003109
HEALTH PLUS OF MICHIGAN
MI
01
—
08715
BCBS OF MICHIGAN
MI
05
—
15-4855889
—
MI
Enumeration date
04/06/2006
Last updated
06/08/2020
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