| NPI | 1932114592 |
|---|---|
| Doing Business As | LAKESHORE MEADOWS |
| Entity Type | Organization |
| Authorized Contact | PATRICIA GAMMEL Chairman 615-646-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 59) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: TN 399) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-08-08 |