| Organization Name: | LAKESHORE HOSPICE ACQUISITION, LLC |
| NPI Number: | 1508833617 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRIS JOSEPH LOPEZ (MEMBER/ADMINISTRATOR) |
| Mailing Address: | 15781 Professional Plz Hammond |
| State: | LA US |
| Postal Code: | 704031452 |
| Phone Number: | 9855491877 |
| Fax Number: | 9853751192 |
| NPI Enumeration Date: | 03/07/2006 |
| NPI Last Update Date: | 12/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 2203781977 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |