| NPI | 1952133886 |
|---|---|
| Doing Business As | LAKEWOOD VILLAGE PERSONAL CARE UNIT |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MATHENY Authorized Signatory 423-883-7920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-09-13 |