Lakeview Homecare LLC

NPI #1558233783 in Andover, Minnesota

Provider Information

NPI Number
1558233783
Entity Type
Organization
Organization Name
Lakeview Homecare LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Sep 18, 2025
Last Updated
Sep 18, 2025

Practice Location

Address
3655 145TH AVE NW
ZIP Code
55304-3114
Phone
(612) 516-3999

Authorized Official

Name
NICODEMUS WUANTAI NAIMODU
Title
ASSISTED LIVING DIRECTOR
Phone
(612) 516-3999

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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