| NPI | 1497942825 |
|---|---|
| Doing Business As | LAKE PARK NURSING & REHAB CENTER |
| Entity Type | Organization |
| Authorized Contact | NORWOOD RANDOLPH UZZELL President 252-523-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC NH0592) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |