- Enrollment id
- O20030918000030
- Enrollment state
- MI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1447256276
- Multiple npi flag
- N
- Ccn
- 237279
- Associate id
- 4082525118
- Organization name
- SCHOOLCRAFT MEMORIAL HOSPITAL
- Doing business as name
- SCHOOLCRAFT MEMORIAL HOMECARE AND HOSPICE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 7870W US HIGHWAY 2
- City
- MANISTIQUE
- State
- MI
- Zip code
- 498548992
- Practice location type
- HHA BRANCH