NPI 1518062579 · live from the CMS NPI Registry
Hospice Advantage, LLC
Hospice Care, Community Based in Fond Du Lac, WI. National Provider Identifier 1518062579, active.
NPI record
| NPI | 1518062579 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 79 N Pioneer Rd, Fond Du Lac, WI 54935 |
| Practice phone | 920-922-1560 |
| Mailing address | 401 Center Ave, Bay City, MI 48708 |
| Enumerated | September 14, 2006 |
| Last updated | January 16, 2013 |
| Authorized official | Kayanne Mynsberge, Coo |
| Other names | Hospice Advantage, INC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.