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23D1014276 CLIA NUMBER - RESIDENTIAL HOME HEALTH & HOSPICE INC

Laboratory Demographics

CLIA Number: 23D1014276

Facility Name: RESIDENTIAL HOME HEALTH & HOSPICE INC

Facility Address:
1681 WOODBRIDGE PARK AVENUE
LAPEER, MI
ZIP 48446
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Facility Phone Number: 810 245-3300

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1316054810

Taxonomy: 251E00000X - Home Health
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.

CLIA Record

Field Name Field Value
CLIA Number 23D1014276
LAB Type Home Health Agency
Facility Name RESIDENTIAL HOME HEALTH & HOSPICE INC
Street 1681 WOODBRIDGE PARK AVENUE
City LAPEER
State MI
ZIP 48446
Phone 810 245-3300
CertificateType 4
CertificateEffectiveDate 7/1/2023
CertificateExpirationDate 6/30/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024