# LAKELAND NEURO CARE CENTER LIMITED PTR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Lakeland Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538253687
- **Authorized official:** MR. MISTY PEMBERTON (ADMINISTRATOR)
- **Authorized official phone:** (248) 350-8070

## Contact information

- **Practice address:** 26900 FRANKLIN RD, SOUTHFIELD, MI 48033-5312
- **Practice address phone:** (248) 350-8070
- **Mailing address:** 26900 FRANKLIN RD, SOUTHFIELD, MI 48033-5312
- **Mailing address phone:** (248) 350-8070
- **Mailing address fax:** (248) 350-8078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 634510 | MI | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 06/19/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 604846736 | — | MI |