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Pavel Tomenko
Home Health Agency in Traverse City, Michigan
NPI 1053885434

Pavel Tomenko is a Home Health Agency based in Berrien Springs, MI. Pavel Tomenko practices in Traverse City, MI. The NPI Number for Pavel Tomenko is 1053885434 and holds a License No. (Michigan).

The current practice location address for Pavel Tomenko is 1899 Dracka Rd, Traverse City, MI and can be reached out via phone at 231-946-2999. You can also correspond with Pavel Tomenko through the mailing address at 111 W FERRY ST, BERRIEN SPRINGS, MI - 49103-1154 (mailing address contact number: ).

Location: 1899 Dracka Rd, Traverse City, MI, 49103-1154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053885434
Provider Name
Pavel Tomenko
Credential
Provider Entity Type
Individual
Gender
Male
Address
1899 Dracka Rd, Traverse City, MI, 49103-1154
Phone Number
231-946-2999
Fax Number
Provider Enumeration Date
01/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1899 Dracka Rd
City
Traverse City
State
Michigan
Zip
49685-8818
Phone Number
231-946-2999
Fax Number
person
Provider Business Mailing Address Details
Address
1899 Dracka Rd
City
Traverse City
State
Michigan
Zip
49685-8818
Phone Number
231-946-2999
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
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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