LAKEWOOD LANDING INC. NPI 1639501141

NPI Information

LAKEWOOD LANDING, INC. is an assisted living facility in Mandan, ND. 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 LANDING, INC. NPI is 1639501141. The provider is registered as an organization entity type.

The provider's business location address is:

4401 21ST ST SE
MANDAN, ND
ZIP 58554
Phone: (701) 751-6191

The provider's authorized official is Susan Bala .
The authorized official title is Secretary/treasurer and has the following contact phone number (218) 790-6427.

The CLIA number assigned to this NPI record is 35D2072218 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2013 and was last updated on 8/7/2013.

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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