# LAKE COUNTY CARE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** grand oaks nursing center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073509261
- **Authorized official:** JEFF SCHADE (CEO)
- **Authorized official phone:** (989) 588-9928

## Contact information

- **Practice address:** 600 DENMARK ST, BALDWIN, MI 49304-7500
- **Practice address phone:** (231) 745-4648
- **Practice address fax:** (231) 745-3724
- **Mailing address:** 600 DENMARK ST, BALDWIN, MI 49304-7500
- **Mailing address phone:** (231) 745-4648
- **Mailing address fax:** (231) 745-3724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2151229 | — | MI |