NPI 1144584038
Blue Lagoon Therapy & Services, LLC
Practice location
- Address
- 2353 S Lachance Rd, Lake City, MI 49651-8024
- Phone
- (231) 779-4671
- Fax
- (231) 779-4038
Authorised official
- Name
- Esther E Nederhood
- Title
- RN
- Phone
- (231) 779-4671
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1144584038
- Entity type
- Organization
- NPI issued
- 26 Jun 2012
- Record last updated
- 26 Jun 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.