| NPI | 1891164554 |
|---|---|
| Doing Business As | RESIDENTIAL HOSPICE, LLC |
| Entity Type | Organization |
| Authorized Contact | JUSTIN DEWITTE President 248-283-8839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2022-08-18 |