| NPI | 1174522239 |
|---|---|
| Doing Business As | LAKEVIEW HOMECARE |
| Entity Type | Organization |
| Authorized Contact | GERARDETTE A WAGNER Director 651-275-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2008-02-22 |