Organization
NORTHERN MICHIGAN HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TYLEE ROSE DECLARK (PRESIDENT)
(906) 774-4712
Entity
Organization
Contact information
Practice address
W8065 US 2/141, SUITE E, IRON MOUNTAIN, MI 49801-9494
(906) 774-4712
(906) 774-4713
Mailing address
W8065 S. US2/141, SUITE E, IRON MOUNTAIN, MI 49801
(906) 774-4712
(906) 774-4713
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
3477-31
WI
251E00000X
Home Health Agency
Primary
4704158708
MI
Other
Enumeration date
01/13/2012
Last updated
02/29/2012
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