Organization
LAKESHORE HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE PATEL (ADMINISTRATOR)
(989) 772-5000
Entity
Organization
Contact information
Practice address
1105 S MISSION ST, MT PLEASANT, MI 48858-3914
(989) 772-5000
(989) 772-5005
Mailing address
1105 S MISSION ST, MT PLEASANT, MI 48858-3914
(989) 772-5000
(989) 772-5005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
03770L
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03770L
MICHIGAN STATE ID
MI
Enumeration date
02/09/2011
Last updated
11/16/2012
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