| NPI | 1104459627 |
|---|---|
| Doing Business As | BRONSON LAKEVIEW FAMILY CARE BANGOR |
| Entity Type | Organization |
| Authorized Contact | REBECCA EAST CFO 269-341-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2023-11-27 |