| NPI | 1972939361 |
|---|---|
| Doing Business As | CLEARVISTA LAKE HEALTH CAMPUS |
| Entity Type | Organization |
| Authorized Contact | KELLY BRAVERMAN CEO, President 765-485-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2022-03-26 |