Organization
HOME CARE SERVICES LAKESHORE, LLC
Active
Other names
FirstLight Lakeshore
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY FELLOWS (MEMBER)
(616) 328-6680
Entity
Organization
Contact information
Practice address
800 E ELLIS RD STE 534, NORTON SHORES, MI 49441-5622
(616) 430-8744
(616) 239-3001
Mailing address
800 E ELLIS RD STE 534, NORTON SHORES, MI 49441-5622
(616) 430-8744
(616) 239-3001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/28/2019
Last updated
07/11/2023
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