Provider Demographics
NPI:1083977482
Name:HOSPICE ANGELIC CARE, INC
Entity Type:Organization
Organization Name:HOSPICE ANGELIC CARE, INC
Other - Org Name:ANGELIC HOME HEALTH & HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-362-6600
Mailing Address - Street 1:314 W M 55
Mailing Address - Street 2:
Mailing Address - City:TAWAS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48763-9253
Mailing Address - Country:US
Mailing Address - Phone:989-362-6600
Mailing Address - Fax:989-362-6605
Practice Address - Street 1:314 W M 55
Practice Address - Street 2:
Practice Address - City:TAWAS CITY
Practice Address - State:MI
Practice Address - Zip Code:48763-9253
Practice Address - Country:US
Practice Address - Phone:989-362-6600
Practice Address - Fax:989-362-6605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health