- Enrollment id
- O20160506001269
- Enrollment state
- MI
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1992159297
- Multiple npi flag
- N
- Ccn
- 231666
- Associate id
- 4789983180
- Organization name
- PARRISH PALLIATIVE AND HOSPICE CARE, LLC
- Incorporation date
- 2015-04-30
- Incorporation state
- MI
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 25925 TELEGRAPH RD
- Address line 2
- STE 202
- City
- SOUTHFIELD
- State
- MI
- Zip code
- 480332527