Lake Drive Health Care LLC
NPI #1598002966 in Henryetta, Oklahoma
Provider Information
- NPI Number
- 1598002966
- Entity Type
- Organization
- Organization Name
- Lake Drive Health Care LLC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jan 5, 2013
- Last Updated
- Dec 2, 2015
Practice Location
Authorized Official
- Name
- JUDAH BIENSTOCK
- Title
- MANAGING MEMBER
- Phone
- (314) 812-2550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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