| NPI | 1376863597 |
|---|---|
| Doing Business As | LAKE VILLAGE REHABILITATION AND CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARLENE HENSLEY Administrator 870-265-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2015-02-13 |