Lake Shore Afc, LLC
NPI #1669968129 in Grawn, Michigan
Provider Information
- NPI Number
- 1669968129
- Entity Type
- Organization
- Organization Name
- Lake Shore Afc, LLC
- Primary Specialty
- Assisted Living Facility - Assisted Living, Behavioral Disturbances
- Enumeration Date
- Jul 9, 2018
- Last Updated
- Jul 9, 2018
Practice Location
Authorized Official
- Name
- MR. RANDY JOHN SCHOLTUS
- Title
- ADMINISTRATOR
- Phone
- (231) 276-9260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances |
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