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Mrs. Joyce Lee Peterson, 06/01/1964
Home Health Agency in South Haven, Michigan
NPI 1043666167

Joyce Lee Peterson is a Home Health Agency based in South Haven, MI. Joyce Lee Peterson practices in South Haven, MI and has the professional credentials of 06/01/1964. The NPI Number for Joyce Lee Peterson is 1043666167 and holds a License No. AS800362293 (Michigan).

The current practice location address for Joyce Lee Peterson is 328 Edgell St, South Haven, MI and can be reached out via phone at 269-637-4823.

Location: 328 Edgell St, South Haven, MI, 49090-1716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043666167
Provider Name
Joyce Lee Peterson
Credential
06/01/1964
Provider Entity Type
Individual
Gender
Female
Address
328 Edgell St, South Haven, MI, 49090-1716
Phone Number
269-637-4823
Fax Number
Provider Enumeration Date
05/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
328 Edgell St
City
South Haven
State
Michigan
Zip
49090-1716
Phone Number
269-637-4823
Fax Number
person
Provider Business Mailing Address Details
Address
328 Edgell St
City
South Haven
State
Michigan
Zip
49090-1716
Phone Number
269-637-4823
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
AS800362293 (Michigan)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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