Lakewood Adult Family Home INC
NPI #1194920488 in Bomoseen, Vermont
Provider Information
- NPI Number
- 1194920488
- Entity Type
- Organization
- Organization Name
- Lakewood Adult Family Home INC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Jun 18, 2007
- Last Updated
- Jun 24, 2008
Practice Location
Authorized Official
- Name
- MR. RICHARD JAMES CHURCH
- Title
- ADMINISTRATOR
- Phone
- (802) 468-3010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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