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Organization

GREAT LAKES CAREWELL LLC

Active
Other names
Sarahcare of Lakeside
Organization subpart
No

Provider details

NPI number
Authorized official
RAVIKUMAR SHUKLA (OWNER)
(616) 780-6037
Entity
Organization

Contact information

Practice address
13425 19 MILE RD, STERLING HEIGHTS, MI 48313-1990
(616) 780-6037
Mailing address
3437 MASON VIEW DR NE, GRAND RAPIDS, MI 49525-9538
(616) 780-6037

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
05/29/2023
Last updated
08/09/2023
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