| NPI | 1073634606 |
|---|---|
| Other Name | EC HOUS LAKELAND |
| Entity Type | Organization |
| Authorized Contact | DASIA PENDLETON Provider Enrollment Specialist 502-630-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2025-06-17 |