Lakeland Village Nursing Facility in Medical Lake - Nursing Facility/intermediate Care Facility

Lakeland Village Nursing Facility - NPI 1780734509

Lakeland Village Nursing Facility is a Nursing Facility/intermediate Care Facility in Medical Lake, Washington. Lakeland Village Nursing Facility practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Lakeland Village Nursing Facility is 1780734509. The last update date is 2008-06-20.

Lakeland Village Nursing Facility's current location address is Po Box 200, Medical Lake, Washington. You can contact this provider via phone number 5092991989 and fax number 5092991070. The mailing address for Lakeland Village Nursing Facility is Po Box 200, Medical Lake, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lakeland Village Nursing Facility
Address Po Box 200, Medical Lake, Washington
Phone Number 5092991989
Fax Number 5092991070
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ASSISTANT
Authorized Official Name Kellen Earl Steven
Credentials LNHA
Telephone Number 5092991989

NPI Number Detail

NPI Number 1780734509
Provider Enumeration Date 2007-01-12
Last Updated Date 2008-06-20

Provider Mailing Address Detail

Address Po Box 200
City Medical Lake
State Washington (WA)
Post Code 990220200
Phone Number 5092991989
Fax Number 5092991070

Provider's Primary Taxonomy Detail

Speciality Nursing Facility/intermediate Care Facility
Taxonomy 313M00000X
Licence No 00L020
Definition:
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha

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FAQs about Lakeland Village Nursing Facility

What is the unique 10-digit identifier code assigned to Lakeland Village Nursing Facility by the Centers for Medicare & Medicaid Services?

The Lakeland Village Nursing Facility has been issued the NPI (National Provider Identifier) 1780734509 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Lakeland Village Nursing Facility?

The Lakeland Village Nursing Facility is physically situated at Po Box 200, in the city of Medical Lake, state of WA, with the postal code 990220200.

What is the area of specialization for Lakeland Village Nursing Facility, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lakeland Village Nursing Facility is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code that categorizes this area of expertise is 313M00000X.

On what date did the Lakeland Village Nursing Facility receive the assignment of its 1780734509 from the Centers for Medicare & Medicaid Services?

The Lakeland Village Nursing Facility was issued its 1780734509 by the Centers for Medicare & Medicaid Services on 2007-01-12.

When was the information related to Lakeland Village Nursing Facility most recently updated or refreshed?

The details pertaining to the Lakeland Village Nursing Facility, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-20.

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