Organization
DYNASTY HOSPICE CARE OF MI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI M GREEN NURSE PRACTITIONER (OWNER)
(313) 404-3879
Entity
Organization
Contact information
Practice address
20266 LENNON ST, HARPER WOODS, MI 48225-1604
(313) 404-3879
Mailing address
20266 LENNON ST, HARPER WOODS, MI 48225-1604
(313) 404-3879
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4704125563
MI
Other
Enumeration date
03/23/2012
Last updated
06/27/2016
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