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 | 2024-06-07 |