Organization
MCLAREN HEALTH MANAGEMENT GROUP
Active
Other names
VitalCare Hospice of the Straits, McLaren Hospice, McLaren Home Care and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DALE LOY (CFO/VICE PRESIDENT)
(810) 496-8633
Entity
Organization
Contact information
Practice address
761 LAFAYETTE AVENUE, CHEBOYGAN, MI 49721
(231) 627-7157
(231) 627-1652
Mailing address
1515 CAL DR, DAVISON, MI 48423-9016
(810) 496-8640
(231) 627-1652
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
163520
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08708
BLUE CROSS/BLUE SHIELD
MI
05
—
2698527
—
MI
Enumeration date
10/02/2006
Last updated
10/23/2020
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