Organization
LAKESIDE HAVEN MANAGEMENT GROUP
Active
Other names
Lakeside Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN CHARBONEAU RN (OWNER)
(231) 333-7333
Entity
Organization
Contact information
Practice address
3723 LONG LAKE RD, CHEBOYGAN, MI 49721-9276
(231) 333-7333
Mailing address
3723 LONG LAKE RD, CHEBOYGAN, MI 49721-9276
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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