NPI:
1669968129
Provider Name:
LAKE SHORE AFC, LLC
Doing Business As: LAKE SHORE AFC, LLC
Classification:
Assisted Living Facility - 3104A0630X
Entity Type:
Organization
Specialization: Assisted Living, Behavioral Disturbances
Address:
2480 TONAWANDA LAKE RD
GRAWN, MI
ZIP 49637
Phone:
(231) 276-9260
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LAKE SHORE AFC, LLC is an assisted living and behavioral disturbances assisted living facility in Grawn, MI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. LAKE SHORE AFC, LLC NPI is 1669968129. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Shore Afc, Llc.
The provider's business location address is:
2480 TONAWANDA LAKE RD
GRAWN, MI
ZIP 49637-615
Phone: (231) 276-9260
Fax: (231) 276-9380
The provider's authorized official is Randy John Scholtus .
The authorized official title is Administrator and has the following contact phone number (231) 276-9260.
The enumeration date for this NPI number is 7/9/2018 and was last updated on 7/9/2018.