Organization
CRANBROOK HOSPICE CARE
Active
Organization
CRANBROOK HOSPICE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM KNITTEL (DIRECTOR)
(734) 343-6512
Entity
Organization
Contact information
Practice address
34505 W 12 MILE RD STE 200, FARMINGTON HILLS, MI 48331-3286
(734) 343-7500
(734) 343-7501
Mailing address
PO BOX 9185, FARMINGTON HILLS, MI 48333-9185
(734) 343-6570
(734) 343-6451
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
633514
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3439664
—
MI
01
—
O8772
BLUE CROSS
MI
Enumeration date
01/30/2006
Last updated
03/06/2018
Update your record
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