Organization
LAKESHORE MEDICAL & HOME HEALTH SUPPLY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS DONALD DOTSON SR. (PRESIDENT CEO)
(231) 788-1448
Entity
Organization
Contact information
Practice address
5664 RICHMOND AVE, MUSKEGON, MI 49442-3160
(231) 788-1448
Mailing address
5664 RICHMOND AVE, MUSKEGON, MI 49442-3160
(231) 788-1448
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
05775D
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05775D
STATE LICENSE
MI
Enumeration date
05/03/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us