1957 N. Lakeman Avenue Operating Company, LLC
NPI #1003815762 in Bellbrook, Ohio
Provider Information
- NPI Number
- 1003815762
- Entity Type
- Organization
- Organization Name
- 1957 N. Lakeman Avenue Operating Company, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 15, 2005
- Last Updated
- Nov 15, 2012
Practice Location
Authorized Official
- Name
- ANDROSKY ALBERTO LUGO, ESQ.
- Title
- EXECUTIVE VICE PRES.
- Phone
- (201) 242-4006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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