National Provider Identifier Database

MARIAM HOSPICE LLC
Hospice Care, Community Based


Contact Information

MARIAM HOSPICE LLC
42000 KOPPERNICK RD.
STE.-A-7
CANTON, MI48187-4282
Phone: 734-254-0092
Fax: 734-254-0180
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for MARIAM HOSPICE LLC

NPI Number 1093007585
Legal business name
LBN
MARIAM HOSPICE LLC
Authorized official IMMACULATA NWACHUKWU - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/03/2011
Last updated 05/03/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • MI Other: D58232 STATE ID

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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