Organization
PLEASANT LAKE LODGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANINE TUCKER-KUMMER (CEO)
(231) 775-5847
Entity
Organization
Contact information
Practice address
2085 S 33 1/2 RD, CADILLAC, MI 49601-8055
(231) 775-5847
Mailing address
2085 S 33 1/2 RD, CADILLAC, MI 49601-8055
(231) 775-5847
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL830300832
MI
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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