Organization
ASPIRUS GRAND VIEW
Active
Parent organization
ASPIRUS GRAND VIEW
Other names
ASPIRUS GRAND VIEW HOME HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASPIRUS GRAND VIEW
Authorized official
MRS. CHARMAINE CHIANTELLO (CFO)
(906) 932-2525
Entity
Organization
Contact information
Practice address
N10567 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-2440
(906) 932-9772
Mailing address
N10567 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-2440
(906) 932-9772
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D0382407
CLIA NUMBER
MI
05
—
3094708
—
MI
05
—
41531800
—
WI
01
—
OE072
BCBS PROVIDER NUMBER
MI
Enumeration date
08/21/2006
Last updated
10/27/2010
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