| NPI | 1538497060 |
|---|---|
| Doing Business As | LAKE TERRACE HEALTH AND REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | BRIAN K. REYNOLDS Manager 410-513-8738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2015-06-10 |