Provider Demographics
NPI:1447522768
Name:REGIONAL HOME CARE OF MICHIGAN INC
Entity type:Organization
Organization Name:REGIONAL HOME CARE OF MICHIGAN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:FAHLBECK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:574-295-1111
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46515-0128
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:69045 M 62 STE E
Practice Address - Street 2:
Practice Address - City:EDWARDSBURG
Practice Address - State:MI
Practice Address - Zip Code:49112-9152
Practice Address - Country:US
Practice Address - Phone:574-295-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health