| NPI | 1194772814 |
|---|---|
| Doing Business As | LAKEWOOD ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | JAMES REIKER Treasurer 573-471-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |