| NPI | 1326033580 |
|---|---|
| Doing Business As | LAKEVIEW MANOR |
| Entity Type | Organization |
| Authorized Contact | MEGAN M FEIRTAG Nursing Home Administrator 920-867-2183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2541) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2015-02-20 |