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Organization

COMMUNITY HOSPICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS J. LESONDAK (PRESIDENT)
(734) 522-4244
Entity
Organization

Contact information

Practice address
32932 WARREN RD, STE 100, WESTLAND, MI 48185-3095
(734) 522-4244
(734) 522-2099
Mailing address
32932 WARREN RD, STE 100, WESTLAND, MI 48185-3095
(734) 522-4244
(734) 522-2099

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
823511
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08706
BLUE CROSS PROVID #
MI
05
1791750
MI
Enumeration date
06/21/2005
Last updated
08/22/2020
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