Organization
LAKESHORE HOSPICE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAILA B RATHOD (PRESIDENT)
(989) 560-7500
Entity
Organization
Contact information
Practice address
1380 E MAIN ST STE E, EDMORE, MI 48829-8339
(989) 560-7500
Mailing address
1380 E MAIN ST STE E, EDMORE, MI 48829-8339
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
03843K
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03843K
STATE ID
MI
Enumeration date
07/28/2011
Last updated
07/28/2011
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