| NPI | 1720805336 |
|---|---|
| Doing Business As | LAKE FOREST VILLAGE BY PUREHEALTH |
| Entity Type | Organization |
| Authorized Contact | ROBERT C CAMPION Managing Member 561-801-4235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |