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Organization

DISABILITY NETWORK/ LAKESHORE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TODD WHITEMAN (EXECUTIVE DIRECTOR)
(616) 396-5326
Entity
Organization

Contact information

Practice address
426 CENTURY LN, HOLLAND, MI 49423-2200
(616) 396-5326
Mailing address
426 CENTURY LN, HOLLAND, MI 49423-2200
(616) 396-5326

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801095023
MI

Other

Enumeration date
11/05/2015
Last updated
11/05/2015
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