| NPI | 1710973664 |
|---|---|
| Doing Business As | LAKEVIEW MANOR |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DEAN PAINO President 317-243-3721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 04-000032-01) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-08-22 |