Organization
LAKELAND SPECIALTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY STANARD (ADMINISTRATOR)
(269) 473-3003
Entity
Organization
Contact information
Practice address
6418 DEANS HILL RD, BERRIEN CENTER, MI 49102-9750
(269) 473-3003
Mailing address
6418 DEANS HILL RD, BERRIEN CENTER, MI 49102-9750
(269) 473-3003
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
113010
MI
Other
Enumeration date
09/21/2005
Last updated
08/22/2020
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