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Organization
ADVANCED SENIORS HEALTHCARE GROUP, INC
Active
Organization
ADVANCED SENIORS HEALTHCARE GROUP, INC
Active
Other names
Advanced Seniors Healthcare Group, Inc, Lakeshore Home Healthcare Agency
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C BRYANT (ADMINISTRATOR)
(248) 213-6067
Entity
Organization
Contact information
Practice address
13001 CAPITAL ST, OAK PARK, MI 48237-3145
(248) 213-6067
Mailing address
13001 CAPITAL ST, OAK PARK, MI 48237-3145
(248) 213-6067
(248) 419-0456
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
23-9053
MI
Other
Enumeration date
08/15/2007
Last updated
06/07/2019
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