Mariam Hospice LLC

NPI #1093007585 in Canton, Michigan

Provider Information

NPI Number
1093007585
Entity Type
Organization
Organization Name
Mariam Hospice LLC
Primary Specialty
Hospice Care, Community Based
Enumeration Date
May 3, 2011
Last Updated
May 3, 2011

Practice Location

Address
42000 KOPPERNICK RD.
Address 2
STE.-A-7
City
Canton
ZIP Code
48187-4282
Phone
(734) 254-0092

Authorized Official

Name
MS. IMMACULATA OBIOMA NWACHUKWU
Title
OWNER
Phone
(734) 254-0092

Specialties & Taxonomy Codes

Specialty
Hospice Care, Community Based

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