| NPI | 1245216910 |
|---|---|
| Doing Business As | LAKEBRIDGE HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JIMMY R LEWIS President 423-975-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000340) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2020-08-22 |