NPI 1912529876
Ah Lakeside II Ldha LLC
Practice location
- Address
- 15821 19 Mile Rd, Clinton Township, MI 48038-6320
- Phone
- (586) 263-0081
- Fax
- (586) 412-1672
Authorised official
- Name
- Aubrey Brohl
- Title
- Executive Director
- Phone
- (586) 263-0081
Registered specialties (2)
Home Delivered Meals
Primary
Homemaker
Registry record
- NPI
- 1912529876
- Entity type
- Organization
- NPI issued
- 14 May 2020
- Record last updated
- 15 Jul 2021
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.