| NPI | 1275049116 |
|---|---|
| Doing Business As | LAKE TOWN HOMECARE, LLC |
| Entity Type | Organization |
| Authorized Contact | YASMIN YUSUF CEO/ President 619-892-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2018-05-15 |