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Lakeshore Community Outreach Incorporation

Lakeshore Community Outreach Incorporation is a health care provider in Gary, IN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 730 Clinton St, Gary, IN 46406-1453, US
Practice Location Phone219-588-4511
Practice Location Fax219-898-2045
Legal Business NameLAKESHORE COMMUNITY OUTREACH INCORPORATION
NPI ?1649632191
Entity TypeOrganization
Enumeration Date ? Mar 23, 2016
Last Update Date ? Mar 23, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Lakeshore Community Outreach Incorporation

SpecialtySpecializationLicenseLicense State
Non-emergency Medical Transport (VAN)
Private Vehicle

official-icon Authorized Official of Lakeshore Community Outreach Incorporation

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Lakeshore Community Outreach Incorporation's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Ms. Gladys Frye
Authorized Official Title/PositionCHIEF EXECUTIVE OFFICER
Authorized Official Phone Number219-588-4511