| NPI | 1881256493 |
|---|---|
| Doing Business As | LAKEWOOD THERAPY & LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | MATHIAS P DASAL Manager Of A Manager Managed LLC 573-746-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |