Organization
LAKESIDE FOR CHILDREN
Active
Other names
Lakeside Academy
Organization subpart
No
Provider details
NPI number
Authorized official
DON NITZ (BOARD ADMINISTRATOR)
(269) 381-4760
Entity
Organization
Contact information
Practice address
3921 OAKLAND DR, KALAMAZOO, MI 49008-4819
(269) 381-4760
Mailing address
3921 OAKLAND DR, KALAMAZOO, MI 49008-4819
(269) 381-4760
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6357061
STATE OF MICHIGAN RESIDENTIAL PROVIDER NUMBER
MI
Enumeration date
11/17/2009
Last updated
11/17/2009
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