| Disability Network/ Lakeshore | |
|
426 Century Ln Holland MI 49423-2200 | |
| (616) 396-5326 | |
| Not Available |
| Full Name | Disability Network/ Lakeshore |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 426 Century Ln, Holland, Michigan |
| Authorized Official Name and Position | Todd Whiteman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6163965326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Disability Network/ Lakeshore 426 Century Ln Holland MI 49423-2200 Ph: (616) 396-5326 | Disability Network/ Lakeshore 426 Century Ln Holland MI 49423-2200 Ph: (616) 396-5326 |
| NPI Number | 1710350228 |
|---|---|
| Provider Enumeration Date | 11/05/2015 |
| Last Update Date | 11/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710350228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801095023 (Michigan) | Primary |
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