| NPI | 1447569405 |
|---|---|
| Doing Business As | LAKESHORE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | CONNIE L CLAUSON VP Operations 616-285-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2020-09-25 |