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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

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0E872
BCBSM HOME HEALTH
MI
05
2598011
MI
Enumeration date
05/30/2006
Last updated
07/10/2009
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