NPI | 1306539267 |
---|---|
Doing Business As | SARAHCARE OF LAKESIDE |
Entity Type | Organization |
Authorized Contact | RAVIKUMAR SHUKLA Owner 616-780-6037 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2023-05-29 |
Last Update Date | 2023-08-09 |