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Organization
LAKESIDE HAVEN MANAGEMENT GROUP
Active
Organization
LAKESIDE HAVEN MANAGEMENT GROUP
Active
Other names
Lakeside Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN CHARBONEAU RN (OWNER)
(231) 333-7333
Entity
Organization
Contact information
Practice address
3723 LONG LAKE RD, CHEBOYGAN, MI 49721-9276
(231) 333-7333
Mailing address
3723 LONG LAKE RD, CHEBOYGAN, MI 49721-9276
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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