23D2181284 CLIA NUMBER - ADVISACARE SOLUTIONS OF NORTHERN MICHIGAN, LLC

Laboratory Demographics

CLIA Number: 23D2181284

Facility Name: ADVISACARE SOLUTIONS OF NORTHERN MICHIGAN, LLC

Facility Address:
218 W GARFIELD AVENUE
CHARLEVOIX, MI
ZIP 49720
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Facility Phone Number: 231 547-6092

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1912540170

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	23D2181284
LAB Type	Home Health Agency
Facility Name	ADVISACARE SOLUTIONS OF NORTHERN MICHIGAN, LLC
Street	218 W GARFIELD AVENUE
City	CHARLEVOIX
State	MI
ZIP	49720
Phone	231 547-6092
CertificateType	4
CertificateEffectiveDate	3/31/2024
CertificateExpirationDate	3/30/2026
FacilityType	Waiver

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