Lake Village Operations LLC
NPI #1427894567 in Lake Village, Arkansas
Provider Information
- NPI Number
- 1427894567
- Entity Type
- Organization
- Organization Name
- Lake Village Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 8, 2024
- Last Updated
- Jul 8, 2024
Practice Location
- Address
- 903 BORGOGNONI DR
- City
- Lake Village
- State
- Arkansas
- ZIP Code
- 71653-1623
- Phone
- (870) 265-5337
Authorized Official
- Name
- JOHN F PONTHIE
- Title
- MEMBER
- Phone
- (318) 216-3316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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