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Organization
HOME CARE SERVICES LAKESHORE, LLC
Active
Organization
HOME CARE SERVICES LAKESHORE, LLC
Active
Other names
FirstLight Lakeshore
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY FELLOWS (MEMBER)
(616) 328-6680
Entity
Organization
Contact information
Practice address
800 E ELLIS RD STE 534, NORTON SHORES, MI 49441-5622
(616) 430-8744
(616) 239-3001
Mailing address
800 E ELLIS RD STE 534, NORTON SHORES, MI 49441-5622
(616) 430-8744
(616) 239-3001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
01/28/2019
Last updated
07/11/2023
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