# COUNTY OF MACOMB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760462253
- **Authorized official:** MR. KEVIN P. LOKAR I M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (586) 469-5512

## Contact information

- **Practice address:** 43525 ELIZABETH ST, MOUNT CLEMENS, MI 48043-1034
- **Practice address phone:** (586) 469-5235
- **Practice address fax:** (586) 469-5885
- **Mailing address:** 43525 ELIZABETH ST, MOUNT CLEMENS, MI 48043-1034
- **Mailing address phone:** (586) 469-5235
- **Mailing address fax:** (586) 469-5885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 4301052675 | MI | Yes |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 10/02/2023