| NPI | 1932658549 |
|---|---|
| Doing Business As | THE LAKES OF SYLVANIA |
| Entity Type | Organization |
| Authorized Contact | BRAD WILLIAMSON Sr. Vice President 502-412-5847 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2017-04-25 |