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Organization
LAKE HOSPITAL SYSTEM, INC.
Active
Organization
LAKE HOSPITAL SYSTEM, INC.
Active
Other names
Lake Health Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KITTOE (VP FINANCE, CFO)
(440) 354-1051
Entity
Organization
Contact information
Practice address
9485 MENTOR AVE, SUITE A04, MENTOR, OH 44060-4597
(440) 639-0900
(440) 357-4583
Mailing address
7590 AUBURN RD, CONCORD TWP, OH 44077-9176
(440) 375-8700
(440) 354-1994
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665221
—
OH
Enumeration date
01/17/2007
Last updated
05/09/2013
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