| NPI | 1629042833 |
|---|---|
| Doing Business As | LAKE PARK RETIREMENT RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | ROBERT E HUBBARD President And CEO 510-893-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 020000057) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2014-04-24 |