Lakeview Residence

NPI 1023236767 - Assisted Living Facility - 310400000X

NPI Details
NPI 1023236767
Enumeration Date 04/20/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JAY JAY
Position OWNER
Phone (218) 741-8996
Fax
Practice Location
201 N 6TH AVE
VIRGINIA MN, 55792-2437, US
Phone (218) 741-8996
Fax
Business Location
PO BOX 1267
VIRGINIA MN, 55792-1267, US
Phone (218) 741-8996
Fax
Toxanomy
Taxonomy Code 310400000X
License State
License Number
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According to our database, Lakeview Residence NPI is 1023236767, taxonomy code is 310400000X Lakeview Residence physically located at 201 N 6th Ave, Virginia MN, 55792-2437. NPI Number 1033115704 has the healthcare provider type.

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1023236767 NPI number is provided on an as is basis without warranty of any kind. 1023236767 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeview Residence are for informational purposes only.