# LAKESIDE HOME CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033922240
- **Authorized official:** MEGAN CHARBONEAU (OWNER)
- **Authorized official phone:** (231) 333-7333

## Contact information

- **Practice address:** 3723 LONG LAKE RD, CHEBOYGAN, MI 49721-9276
- **Practice address phone:** (231) 333-7333
- **Mailing address:** 3723 LONG LAKE RD, CHEBOYGAN, MI 49721-9276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2025
- **Last updated:** 01/30/2025