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Organization
LAKELAND NEURO CARE CENTER LIMITED PTR
Active
Organization
LAKELAND NEURO CARE CENTER LIMITED PTR
Active
Other names
The Lakeland Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MISTY PEMBERTON (ADMINISTRATOR)
(248) 350-8070
Entity
Organization
Contact information
Practice address
26900 FRANKLIN RD, SOUTHFIELD, MI 48033-5312
(248) 350-8070
Mailing address
26900 FRANKLIN RD, SOUTHFIELD, MI 48033-5312
(248) 350-8070
(248) 350-8078
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
634510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
604846736
—
MI
Enumeration date
10/03/2006
Last updated
06/19/2026
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