Organization
HOSPICE ADVANTAGE, LLC
Active
Other names
Hospice Advantage, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KAYANNE MYNSBERGE (COO)
(262) 786-9002
Entity
Organization
Contact information
Practice address
1155 QUAIL CT, PEWAUKEE, WI 53072-3780
(262) 786-9002
(262) 786-9003
Mailing address
401 CENTER AVE, BAY CITY, MI 48708-5962
(989) 891-2206
(989) 893-5268
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43114300
—
WI
Enumeration date
05/19/2006
Last updated
01/15/2013
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