# BLUE LAKE HOMECARE MI, LLC

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

## Provider details

- **NPI number:** 1770415176
- **Authorized official:** ASHER KLUGMANN (DIRECTOR)
- **Authorized official phone:** (313) 546-0363

## Contact information

- **Practice address:** 2222 W GRAND RIVER AVE STE A, OKEMOS, MI 48864-1604
- **Practice address phone:** (313) 546-0363
- **Mailing address:** 1515 PINE ST STE 230, LAKEWOOD, NJ 08701-4994
- **Mailing address phone:** (313) 546-0363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/01/2026
- **Last updated:** 06/02/2026