- Enrollment id
- O20050603000767
- Enrollment state
- MI
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1235197401
- Multiple npi flag
- N
- Ccn
- 231505
- Associate id
- 7911940655
- Organization name
- HOSPICE CARE OF SOUTHWEST MICHIGAN
- Doing business as name
- CENTRICA CARE NAVIGATORS
- Incorporation date
- 1981-02-23
- Incorporation state
- MI
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 7100 STADIUM DR
- City
- KALAMAZOO
- State
- MI
- Zip code
- 490099423