Organization
NORTH SHORES CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL LEBOURDAIS PA-C (LICENSEE)
(989) 493-1451
Entity
Organization
Contact information
Practice address
6193 NORWAY RD, OSCODA, MI 48750-8739
(989) 569-3772
Mailing address
4424 WINTERWOOD LN, SAGINAW, MI 48603-8673
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
06/11/2019
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