| NPI | 1538245386 |
|---|---|
| Doing Business As | LAKEWOOD CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | SHARRAY A PALM CEO 218-634-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MN 330061) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MN 330061) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |