Organization
YOUR COMMUNITY ABOVE AND BEYOND HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLE EILEEN CHISHOLM (ADMINISTRATION)
(866) 808-2797
Entity
Organization
Contact information
Practice address
303 CEDAR STREET, KALKASKA, MI 49646
(866) 808-2797
(231) 258-4813
Mailing address
PO BOX 1555, KALKASKA, MI 49646-1555
(866) 808-2797
(231) 258-4813
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4607540
—
MI
Enumeration date
03/11/2010
Last updated
03/11/2010
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