| NPI | 1497708655 |
|---|---|
| Doing Business As | LAKE VUE GARDENS |
| Entity Type | Organization |
| Authorized Contact | CINDY S CROSS Assistant Secretary 423-473-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA NH1197) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-09-15 |