Lakewood Senior Living of Mattoon LLC
NPI #1679647887 in Mattoon, Illinois
Provider Information
- NPI Number
- 1679647887
- Entity Type
- Organization
- Organization Name
- Lakewood Senior Living of Mattoon LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- THOMAS KENT
- Title
- EXECUTIVE VICE PRESIDENT
- Phone
- (205) 320-7554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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