Lake View Residential Care, LLC
NPI #1477670560 in Wappapello, Missouri
Provider Information
- NPI Number
- 1477670560
- Entity Type
- Organization
- Organization Name
- Lake View Residential Care, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- HC 2 BOX 2070
- City
- Wappapello
- State
- Missouri
- ZIP Code
- 63966-9508
- Phone
- (573) 222-8676
Authorized Official
- Name
- SHIRLEY STEWART
- Title
- OWNER
- Phone
- (573) 222-8676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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