Blue Lagoon Therapy & Services, LLC

NPI #1144584038 in Lake City, Michigan

Provider Information

NPI Number: 1144584038
Entity Type: Organization
Organization Name: Blue Lagoon Therapy & Services, LLC
Primary Specialty: Home Health
Enumeration Date: Jun 26, 2012
Last Updated: Jun 26, 2012

Practice Location

Address: 2353 S LACHANCE RD
City: Lake City
State: Michigan
ZIP Code: 49651-8024
Phone: (231) 779-4671

Authorized Official

Name: MRS. ESTHER E NEDERHOOD, RN
Title: RN
Phone: (231) 779-4671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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