Organization
DIVERSIFIED HOSPICE CARE, INC.
Active
Other names
AdvisaCare Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISTIAN SKOGEN (PRESIDENT)
(616) 464-1117
Entity
Organization
Contact information
Practice address
3290 W BIG BEAVER RD STE 501, TROY, MI 48084-2911
(248) 633-8488
(866) 444-0304
Mailing address
4234 CASCADE RD SE, GRAND RAPIDS, MI 49546-8384
(616) 464-1117
(616) 464-1044
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
05/15/2019
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