Lakeview Lutheran Manor

NPI #1407849656 in Cadillac, Michigan

Provider Information

NPI Number: 1407849656
Entity Type: Organization
Organization Name: Lakeview Lutheran Manor
Subpart: Yes (part of a larger organization)
Parent Organization: LUTHERAN SOCIAL SERVICES OF MICHIGAN
Primary Specialty: Skilled Nursing Facility
Enumeration Date: Aug 23, 2005
Last Updated: Feb 20, 2008

Practice Location

Address: 460 PEARL ST
City: Cadillac
State: Michigan
ZIP Code: 49601-2620
Phone: (231) 775-0101

Authorized Official

Name: DAVID GOODRICH
Title: ADMINISTRATOR
Phone: (231) 775-0101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Skilled Nursing Facility	314000000X	Primary

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