Organization
HEARTLAND HOSPICE SERVICES, LLC
Active
Parent organization
HEARTLAND HOSPICE SERVICES, LLC
Other names
ProMedica Hospice (Grand Rapids)
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND HOSPICE SERVICES, LLC
Authorized official
MARTIN DAVID ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
695 KENMOOR AVE SE STE B, GRAND RAPIDS, MI 49546-2375
(616) 956-0636
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-1531
(567) 585-1191
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1413573
—
MI
Enumeration date
09/14/2022
Last updated
09/14/2022
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