Lakewood Manor North Inc

NPI 1083759500 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1083759500
Enumeration Date 02/21/2007
Last Updated 06/18/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KIM CHARLES KIM
Position ADMINISTRATOR
Phone (213) 380-9175
Fax (213) 380-1879
Practice Location
831 S LAKE ST
LOS ANGELES CA, 90057-4013, US
Phone (213) 380-9175
Fax (213) 380-1879
Business Location
831 S LAKE STREET
LOS ANGELES US, , UM
Phone (213) 380-9175
Fax (213) 380-1879
Toxanomy
Taxonomy Code 314000000X
License State California
License Number 970000069
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According to our database, Lakewood Manor North Inc NPI is 1083759500, taxonomy code is 314000000X and license number is 970000069, license state is located at California. Lakewood Manor North Inc physically located at 831 S Lake St, Los Angeles CA, 90057-4013. NPI Number 1033115704 has the healthcare provider type.

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1083759500 NPI number is provided on an as is basis without warranty of any kind. 1083759500 is maintained by the National Plan & Provider Enumeration System. The contents of Lakewood Manor North Inc are for informational purposes only.