Gaylord Lakeview Home

NPI #1750388336 in Gaylord, Minnesota

Provider Information

NPI Number
1750388336
Entity Type
Organization
Organization Name
Gaylord Lakeview Home
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 28, 2005
Last Updated
Jul 16, 2007

Practice Location

Address
640 3RD ST
ZIP Code
55334-2297
Phone
(507) 237-2911

Authorized Official

Name
MARY NELL ZELLNER
Title
ADMINISTRATOR
Phone
(507) 237-2911

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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