23D2239845 CLIA NUMBER - ABIGAIL HOSPICE LLC

Laboratory Demographics

CLIA Number: 23D2239845

Facility Name: ABIGAIL HOSPICE LLC

Facility Address:
2790 W GRAND RIVER SUITE 100
HOWELL, MI
ZIP 48843
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Facility Phone Number: 517 292-8600

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1316515026

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	23D2239845
LAB Type	Home Health Agency
Facility Name	ABIGAIL HOSPICE LLC
Street	2790 W GRAND RIVER SUITE 100
City	HOWELL
State	MI
ZIP	48843
Phone	517 292-8600
CertificateType	4
CertificateEffectiveDate	10/14/2023
CertificateExpirationDate	10/13/2025
FacilityType	Waiver

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