Organization
LAKESHORE SENIOR CARE LLC
Active
Parent organization
LAKESHORE LEGACY GROUP FAMILY LIMITED PARTNERSHIP
Other names
Lakeshore Senior Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESHORE LEGACY GROUP FAMILY LIMITED PARTNERSHIP
Authorized official
MR. SCOTT JAMES BOLTHOUSE (CHIEF EXECUTIVE OFFICER)
(616) 994-9900
Entity
Organization
Contact information
Practice address
320 N 120TH AVE, STE 230, HOLLAND, MI 49424-2696
(616) 994-9900
Mailing address
320 N 120TH AVE, STE 230, HOLLAND, MI 49424-2696
(616) 994-9900
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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