| NPI | 1962845040 |
|---|---|
| Doing Business As | LAKESHORE ADULT DAY HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | CHRIS JOSEPH LOPEZ Member 985-960-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: LA 2203781570) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |