Lakeland Village
NPI #1366594228 in Medical Lake, Washington
Provider Information
- NPI Number
- 1366594228
- Entity Type
- Organization
- Organization Name
- Lakeland Village
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- S 2320 SALNAVE ROAD
- City
- Medical Lake
- State
- Washington
- ZIP Code
- 99022-0200
- Phone
- (509) 299-1001
Authorized Official
- Name
- MRS. KATHRYN A. MONTAGUE
- Title
- SUPERINTENDENT
- Phone
- (509) 299-1001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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