Organization · Type 2 NPI

Lake Shore Afc, LLC

Assisted Living Facility (Behavioral Disturbances) · Grawn, MI

NPI number 1669968129 Active

Practice location

2480 Tonawanda Lake Rd
Grawn, MI 49637-9615

Fax (231) 276-9380

Mailing address

PO Box 119
Grawn, MI 49637-0119

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility (Behavioral Disturbances) Primary 3104A0630XAM280289926 (MI)

Assisted Living Facility (Behavioral Disturbances): 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.

About NPI 1669968129

Lake Shore Afc, LLC's National Provider Identifier is 1669968129, issued on Jul 9, 2018. The primary taxonomy on file is Assisted Living Facility (Behavioral Disturbances) (3104A0630X), and the practice location is in Grawn, MI. The record was last updated on Jul 9, 2018.