NPI | 1801538871 |
---|---|
Doing Business As | BRONSON LAKEVIEW FAMILY CARE-BLUE STAR |
Entity Type | Organization |
Authorized Contact | REBECCA EAST CFO 269-341-6000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2022-04-11 |
Last Update Date | 2022-04-11 |