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Ms. Anitra Ranee Tyson
Home Health Agency in South Haven, Michigan
NPI 1770233736

Anitra Ranee Tyson is a Home Health Agency based in South Haven, MI. Anitra Ranee Tyson practices in South Haven, MI. The NPI Number for Anitra Ranee Tyson is 1770233736 and holds a License No. (Michigan).

The current practice location address for Anitra Ranee Tyson is 915 Hazel St, South Haven, MI and can be reached out via phone at 269-286-2725.

Location: 915 Hazel St, South Haven, MI, 49090-1613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770233736
Provider Name
Anitra Ranee Tyson
Credential
Provider Entity Type
Individual
Gender
Female
Address
915 Hazel St, South Haven, MI, 49090-1613
Phone Number
269-286-2725
Fax Number
Provider Enumeration Date
03/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
915 Hazel St
City
South Haven
State
Michigan
Zip
49090-1613
Phone Number
269-286-2725
Fax Number
person
Provider Business Mailing Address Details
Address
915 Hazel St
City
South Haven
State
Michigan
Zip
49090-1613
Phone Number
269-286-2725
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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