LAKE REGION CORPORATION NPI 1871659797

NPI Information

NPI: 1871659797
Provider Name: LAKE REGION CORPORATION
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
923 6TH AVE NE
DEVILS LAKE, ND
ZIP 58301
Phone: (701) 662-8681
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LAKE REGION CORPORATION is an intermediate care facility mental illness in Devils Lake, ND. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. LAKE REGION CORPORATION NPI is 1871659797. The provider is registered as an organization entity type.

The provider's business location address is:

923 6TH AVE NE
DEVILS LAKE, ND
ZIP 58301-210
Phone: (701) 662-8681
Fax: (701) 662-5776

The provider's authorized official is Ellen Davidson .
The authorized official title is Ceo and has the following contact phone number (701) 662-8681.

The enumeration date for this NPI number is 12/28/2006 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310500000X	Intermediate Care Facility, Mental Illness				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30826	OTHER	NORTH DAKOTA	PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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