Organization
HOSPICE ADVANTAGE, LLC
Active
Other names
Hospice Advantage, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KAYANNE MYNSBERGE (COO)
(989) 891-2210
Entity
Organization
Contact information
Practice address
1309 S LINDEN RD, SUITE B, FLINT, MI 48532-3443
(810) 733-9975
(810) 733-9476
Mailing address
401 CENTER AVE, BAY CITY, MI 48708-5962
(989) 891-2206
(989) 893-5268
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
253520
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01002968
HEALTH PLUS OF MICHIGAN
MI
01
—
08745
BLUE CROSS OF MICHIGAN
MI
05
—
15-4844384
—
MI
Enumeration date
03/01/2006
Last updated
01/15/2013
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