| NPI | 1346308657 |
|---|---|
| Other Name | LAKEWOOD HOUSE |
| Entity Type | Organization |
| Authorized Contact | BRIAN PATRICK SAMMON President 612-226-7120 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2023-01-20 |