Lakeland Village Nursing Facility
NPI #1780734509 in Medical Lake, Washington
Provider Information
- NPI Number
- 1780734509
- Entity Type
- Organization
- Organization Name
- Lakeland Village Nursing Facility
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jan 12, 2007
- Last Updated
- Jun 20, 2008
Practice Location
- Address
- S 2320 SALNAVE ROAD
- City
- Medical Lake
- State
- Washington
- ZIP Code
- 99022-0200
- Phone
- (509) 299-1989
Authorized Official
- Name
- MR. STEVEN EARL KELLEN, LNHA
- Title
- ASSISTANT SUPERINTENDENT
- Phone
- (509) 299-1989
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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