Organization
LAKESHORE HEALTHCARE ELMWOOD CAMPUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK BHALLA PMP (V P OPERATIONS)
(313) 483-3905
Entity
Organization
Contact information
Practice address
1881 E GRAND BLVD, DETROIT, MI 48211-3041
(313) 922-1600
(313) 922-4756
Mailing address
1881 E GRAND BLVD, DETROIT, MI 48211-3041
(313) 922-1600
(313) 922-4756
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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