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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 Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for MARIAM HOSPICE LLC

NPI # 1093007585
LBN Legal business name MARIAM HOSPICE LLC
Authorized official IMMACULATA NWACHUKWU - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2011
Last updated 05/03/2011 - About 15 years ago
Identifiers
MI Other D58232 STATE ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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