Lakeview Residence
NPI #1023236767 in Virginia, Minnesota
Provider Information
- NPI Number
- 1023236767
- Entity Type
- Organization
- Organization Name
- Lakeview Residence
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 20, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. JAY WALL
- Title
- OWNER
- Phone
- (218) 741-8996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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