Organization
LAKE SUPERIOR HOSPICE ASSOCIATION INC
Active
Organization
LAKE SUPERIOR HOSPICE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE KITTI (CEO)
(906) 225-7760
Entity
Organization
Contact information
Practice address
914 W BARAGA AVE, MARQUETTE, MI 49855-4029
(906) 225-7760
Mailing address
914 W BARAGA AVE, MARQUETTE, MI 49855-4029
(906) 225-7760
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08735
BLUE CROSS BLUE SHIELD MI
MI
05
—
2913615
—
MI
Enumeration date
02/07/2006
Last updated
12/29/2015
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