Manor of Lake City, INC

NPI #1962510859 in Lake City, Iowa

Provider Information

NPI Number
1962510859
Entity Type
Organization
Organization Name
Manor of Lake City, INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 29, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1409 W MAIN ST
State
Iowa
ZIP Code
51449-1578
Phone
(712) 464-3106

Authorized Official

Name
JACK DEAN VETTER
Title
PRESIDENT
Phone
(402) 895-3932

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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