Organization
KEWEENAW HOME NURSING, INC.
Active
Other names
Keweenaw Home Nursing & Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA M KOLB RN (ADMINISTRATOR)
(906) 337-5700
Entity
Organization
Contact information
Practice address
311 6TH ST, CALUMET, MI 49913-1507
(906) 337-5700
(906) 337-9929
Mailing address
311 6TH ST, CALUMET, MI 49913-1507
(906) 337-5700
(906) 337-9929
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
14333
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08730
BCBSM HOSPICE PROVIDER
MI
05
—
2996476
—
MI
Enumeration date
05/19/2006
Last updated
07/10/2009
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