LAKEWOOD RESIDENTIAL CARE LLC NPI 1194772814

NPI Information

LAKEWOOD RESIDENTIAL CARE, LLC is an assisted living facility in Springfield, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LAKEWOOD RESIDENTIAL CARE, LLC NPI is 1194772814. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakewood Assisted Living.

The provider's business location address is:

4685 S ROBBERSON AVE
SPRINGFIELD, MO
ZIP 65810-785
Phone: (417) 881-1411

The provider's authorized official is James Reiker .
The authorized official title is Treasurer and has the following contact phone number (573) 471-1113.

The CLIA number assigned to this NPI record is 26D1001431 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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