| NPI | 1730651001 |
|---|---|
| Doing Business As | LAKEVIEW NURSING & REHAB |
| Entity Type | Organization |
| Authorized Contact | BRADFORD MONTGOMERY Member 479-899-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2018-12-26 |