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Organization

LAKESHORE GERIATRIC CARE GROUP

Active
Other names
Lakeshore Adult Day Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRIS JOSEPH LOPEZ (MEMBER)
(985) 960-0646
Entity
Organization

Contact information

Practice address
829 ASBURY DR STE 3, MANDEVILLE, LA 70471-6512
(985) 778-0736
Mailing address
829 ASBURY DR STE 3, MANDEVILLE, LA 70471-6512
(985) 778-0736

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
2203781570
LA

Other

Enumeration date
04/09/2013
Last updated
04/09/2013
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