| NPI | 1871650655 |
|---|---|
| Doing Business As | LAKEVIEW LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | ROB KEIME CFO 309-685-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: IL 0047811) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |