Organization
LAKESHORE COORDINATING COUNCIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN YOUNGS HARTLEY (EXECUTIVE DIRECTOR)
(616) 846-6720
Entity
Organization
Contact information
Practice address
324 WASHINGTON AVE, 2ND FLOOR, GRAND HAVEN, MI 49417-1397
(616) 846-6720
(616) 846-5081
Mailing address
PO BOX 268, GRAND HAVEN, MI 49417-0268
(616) 846-6720
(616) 846-5081
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4455644
—
MI
Enumeration date
03/09/2007
Last updated
08/22/2020
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