CCN: 231647 NPI: 1356742340 Organization

Evergreen Hospice, LLC

24333 ORCHARD LAKE RD STE H
FARMINGTON HILLS, MI 483361976

Contact Information

Phone 2488175859
Fax 2488175876
Enumeration Date 2014-09-09
Last Updated 2023-06-30

Taxonomies

Code: 251G00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 47644

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 47664

providerType 35

specialPaymentIndicator

carrierCode 08202

localityCode 01