| NPI | 1265530430 |
|---|---|
| Doing Business As | LAKEWOOD SENIOR LIVING OF ALTA VISTA |
| Entity Type | Organization |
| Authorized Contact | APRIL M PUCCETTI Administrator 205-320-7507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 115822) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-04-28 |