Lake Region Corporation

NPI #1871659797 in Devils Lake, North Dakota

Provider Information

NPI Number
1871659797
Entity Type
Organization
Organization Name
Lake Region Corporation
Primary Specialty
Intermediate Care Facility, Mental Illness
Enumeration Date
Dec 28, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
923 6TH AVE NE
ZIP Code
58301-2210
Phone
(701) 662-8681

Authorized Official

Name
ELLEN DAVIDSON
Title
CEO
Phone
(701) 662-8681

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Mental Illness

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