Organization Name: | LAKEVIEW HEALTHCARE |
NPI Number: | 1164554531 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRIS SLOVER (ADMINISTRATOR) |
Mailing Address: | 244 High Watch Rd Effingham |
State: | NH US |
Postal Code: | 038828336 |
Phone Number: | 6035397451 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |