Organization
MICHIGAN IN-HOME PARTNER-IV, LLC
Active
Other names
UP Health System Home Care and Hospice Portage
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
821 W WATER ST, HANCOCK, MI 49930-1953
(906) 783-1160
(906) 483-1167
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/20/2017
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