NPI | 1720081052 |
---|---|
Doing Business As | LAKEVIEW NURSING CENTER |
Entity Type | Organization |
Authorized Contact | DIANE CARPENTER Administrator 228-831-3001 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 735) |
Enumeration Date | 2005-05-31 |
Last Update Date | 2008-04-28 |