Organization
MANOR HOUSE PALLIATIVE AND HOSPICE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN C MCCLERKIN (CEO)
(898) 505-5916
Entity
Organization
Contact information
Practice address
21700 NORTHWESTERN HWY, SUITE 880, SOUTHFIELD, MI 48075-4906
(888) 505-5916
(313) 450-4533
Mailing address
21700 NORTHWESTERN HWY, SUITE 880, SOUTHFIELD, MI 48075-4906
(888) 505-5916
(313) 450-4533
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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