| NPI | 1417746645 |
|---|---|
| Doing Business As | LIVE LOVE LAKE SENIOR LIVING |
| Entity Type | Organization |
| Authorized Contact | KELLY WILMS Owner 440-315-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |