Organization
ADVANCED SENIORS HEALTHCARE GROUP, INC
Active
Other names
Advanced Seniors Healthcare Group, Inc, Lakeshore Home Healthcare Agency
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C BRYANT (ADMINISTRATOR)
(248) 213-6067
Entity
Organization
Contact information
Practice address
13001 CAPITAL ST, OAK PARK, MI 48237-3145
(248) 213-6067
Mailing address
13001 CAPITAL ST, OAK PARK, MI 48237-3145
(248) 213-6067
(248) 419-0456
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
23-9053
MI
Other
Enumeration date
08/15/2007
Last updated
06/07/2019
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