| NPI | 1265492334 |
|---|---|
| Doing Business As | LAKE PARK |
| Entity Type | Organization |
| Authorized Contact | GLADEEN ROBERTS President 419-824-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-08-22 |