Organization
LAKEVIEW ADULT FOSTER CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENA DARLENE SUTTON (OWNER/ADMINISTRATOR)
(906) 586-6934
Entity
Organization
Contact information
Practice address
W17345 MAIN STREET, CURTIS, MI 49820
(906) 586-6934
(906) 586-6935
Mailing address
PO BOX 189, CURTIS, MI 49820-0189
(906) 586-6934
(906) 586-6935
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AM490290970
MI
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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