Lakeshore Pond Llc

LBN: Lakeshore Pond Llc
Lakeshore Pond Llc is an health care organization with primary practice located at 1757 Wickford Rd , Cleveland OH 44112-1207. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Lakeshore Pond Llc can be contacted via phone (216) 245-8550, or through Duckworth, Shashonna via phone (216) 245-8550.

Contact Information

Primary practice address
1757 Wickford Rd Cleveland OH 44112-1207
Phone: (216) 245-8550
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Duckworth, Shashonna
Phone: (216) 245-8550

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1154048320
LBN Legal business name Lakeshore Pond Llc
DBA Doing business as
Authorized official Duckworth, Shashonna
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2022
Last updated Dec 7th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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