Organization
HOSPICE OF JACKSON - HOSPICE HOME
Active
Parent organization
HOSPICE OF JACKSON
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPICE OF JACKSON
Authorized official
MRS. MARK SMITH MD (SVP - CMO, CEO - HFAMG)
(517) 205-6407
Entity
Organization
Contact information
Practice address
2150 KINGSBROOKE DR, JACKSON, MI 49202-1300
(517) 817-7600
(517) 817-7615
Mailing address
2150 KINGSBROOKE DR, JACKSON, MI 49202-1300
(517) 817-7600
(517) 817-7615
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
1050000017
MI
315D00000X
Inpatient Hospice
Primary
1070000432
MI
Other
Enumeration date
06/19/2012
Last updated
08/09/2019
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