Organization
LAKESHORE COMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A. RUEDY (CEO)
(814) 456-9962
Entity
Organization
Contact information
Practice address
1350 W 26TH ST, ERIE, PA 16508-1402
(814) 456-9962
(814) 456-0595
Mailing address
1350 W 26TH ST, ERIE, PA 16508-1402
(814) 456-9962
(814) 456-0595
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
439250
PA
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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