Organization
HEARTLAND HOSPICE SERVICES LLC
Active
Other names
ProMedica Hospice (Kalamazoo), ProMedica Hospice (Grand Rapids), ProMedica Hospice (Fremont), ProMedica Hospice (Traverse City)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
695 KENMOOR AVE SE STE B, GRAND RAPIDS, MI 49546-2375
(616) 956-0636
(616) 956-7617
Mailing address
333 N SUMMIT ST, ATTN: DEAN SHIPMAN, TOLEDO, OH 43604-2615
(419) 254-7841
(419) 252-6448
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
413526
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1413573
—
MI
Enumeration date
05/18/2006
Last updated
04/15/2022
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