| NPI | 1407933443 |
|---|---|
| Doing Business As | LAKEBRIDGE HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JIMMY (J.R.) R LEWIS Chief Manager 423-975-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 0000000340) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-06-12 |