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23D2038257 CLIA NUMBER - RESIDENTIAL HOME HEALTH AND HOSPICE, INC

Laboratory Demographics

CLIA Number: 23D2038257

Facility Name: RESIDENTIAL HOME HEALTH AND HOSPICE, INC

Facility Address:
4800 FASHION SQUARE BLVD SUITE 310
SAGINAW, MI
ZIP 48604
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Facility Phone Number: 866 902-5854

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1104157015

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 23D2038257
LAB Type Home Health Agency
Facility Name RESIDENTIAL HOME HEALTH AND HOSPICE, INC
Street 4800 FASHION SQUARE BLVD SUITE 310
City SAGINAW
State MI
ZIP 48604
Phone 866 902-5854
CertificateType 4
CertificateEffectiveDate 3/16/2024
CertificateExpirationDate 3/15/2026
FacilityType Waiver

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