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Custom Hospice, Llc
Adult Health Nurse Practitioner in Troy, Michigan
NPI 1306480538

Custom Hospice, Llc is an Adult Health Nurse Practitioner based in Troy, MI and is specialized in Adult Health. Custom Hospice, Llc practices in Troy, MI. The NPI Number for Custom Hospice, Llc is 1306480538 and holds a License No. (Michigan).

The current practice location address for Custom Hospice, Llc is 888 W Big Beaver Rd Ste 900, Troy, MI and can be reached out via phone at 866-952-9003 and via fax at 866-952-9004.

Location: 888 W Big Beaver Rd Ste 900, Troy, MI, 48084-4771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306480538
Provider Name
Custom Hospice, Llc
Credential
Provider Entity Type
Organization
Address
888 W Big Beaver Rd Ste 900, Troy, MI, 48084-4771
Phone Number
866-952-9003
Fax Number
866-952-9004
Provider Enumeration Date
10/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
888 W Big Beaver Rd Ste 900
City
Troy
State
Michigan
Zip
48084-4771
Phone Number
866-952-9003
Fax Number
866-952-9004
person
Provider Business Mailing Address Details
Address
888 W Big Beaver Rd Ste 900
City
Troy
State
Michigan
Zip
48084-4771
Phone Number
866-952-9003
Fax Number
866-952-9004
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
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Definition
Definition to come...
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