Organization
LOURDES ASSISTED LIVING
Active
Other names
Mendelson Home
Organization subpart
No
Provider details
NPI number
Authorized official
CORI SHARRARD RN (DIRECTOR)
(248) 886-5102
Entity
Organization
Contact information
Practice address
2450 WATKINS LAKE RD, WATERFORD, MI 48328
(248) 618-6362
(248) 618-6361
Mailing address
2450 WATKINS LAKE RD, WATERFORD, MI 48328-1470
(248) 618-6362
(248) 618-6361
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AH630236917
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AH630236917
HOME FOR THE AGED
MI
Enumeration date
06/08/2017
Last updated
07/21/2022
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