Organization
OMEGA HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LUTZ (EXECUTIVE DIRECTOR)
(906) 482-4438
Entity
Organization
Contact information
Practice address
2211 MAUREEN LN, HOUGHTON, MI 49931-1967
(906) 482-4438
(906) 482-6144
Mailing address
2211 MAUREEN LN, HOUGHTON, MI 49931-1967
(906) 482-4438
(906) 482-6144
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q5009
VETERANS' ADMINISTRATION
MI
Enumeration date
09/17/2019
Last updated
09/17/2019
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