| NPI | 1972852754 |
|---|---|
| Doing Business As | LAKEWAY AT HOME OF AUSTIN |
| Entity Type | Organization |
| Authorized Contact | PHYLLIS JEAN ROBERTSON Managing Member 615-297-3511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-14 |