Organization Name: | LAKEVIEW RANCH INC. |
NPI Number: | 1083942221 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDY A BERRY (CEO) |
Mailing Address: | 22851 Mn Highway 15 Dassel |
State: | MN US |
Postal Code: | 553253568 |
Phone Number: | 3202755515 |
Fax Number: | 3202755516 |
NPI Enumeration Date: | 11/30/2009 |
NPI Last Update Date: | 11/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311500000X |
License Number: | 342097 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Alzheimer Center (Dementia Center) |
Taxonomy Specialization: | |
Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |