Organization
PRIME HOSPICE & SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TIMOTHY LOPEZ (CHIEF EXECUTIVE OFFICER)
(248) 227-7298
Entity
Organization
Contact information
Practice address
17515 W 9 MILE RD STE 195, SOUTHFIELD, MI 48075-4403
(248) 227-7298
Mailing address
17515 W 9 MILE RD STE 195, SOUTHFIELD, MI 48075-4403
(248) 227-7298
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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