Lake Hospital System, Inc.

NPI #1568514636 in Mentor, Ohio

Provider Information

NPI Number: 1568514636
Entity Type: Organization
Organization Name: Lake Hospital System, Inc.
Primary Specialty: Home Health
Enumeration Date: Jan 17, 2007
Last Updated: May 9, 2013

Practice Location

Address: 9485 MENTOR AVE
Address 2: SUITE A04
City: Mentor
State: Ohio
ZIP Code: 44060-4597
Phone: (440) 639-0900

Authorized Official

Name: MR. MICHAEL KITTOE
Title: VP FINANCE, CFO
Phone: (440) 354-1051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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