| NPI | 1811189665 |
|---|---|
| Former Legal Business Name | LAKESHORE HOME HEALTHCARE AGENCY |
| Former Legal Business Name | ADVANCED SENIORS HEALTHCARE GROUP, INC |
| Entity Type | Organization |
| Authorized Contact | RICHARD C BRYANT Administrator 248-213-6067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MI 23-9053) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2019-06-07 |