NPI | 1093720757 |
---|---|
Doing Business As | LAKESHORE HEARTLAND |
Entity Type | Organization |
Authorized Contact | DAVID A SCIORTINO President 615-646-4466 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 56) |
310400000X Assisted Living Facility (Licence: TN 396) | |
Enumeration Date | 2006-07-30 |
Last Update Date | 2023-05-23 |