| Organization Name: | LAKES REGIONAL HEALTHCARE |
| NPI Number: | 1972566875 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE A RESCH (CONTROLLER) |
| Mailing Address: | 1003 21st Street Milford |
| State: | IA US |
| Postal Code: | 51351 |
| Phone Number: | 7123389998 |
| Fax Number: | 7123389990 |
| NPI Enumeration Date: | 04/11/2006 |
| NPI Last Update Date: | 08/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 300028H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |