Lakeland Village

LBN: Lakeland Village
Lakeland Village is an health care organization with primary practice located at S 2320 Salnave Road , Medical Lake WA 99022-0200. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Lakeland Village can be contacted via phone (509) 299-1001, or through Montague, Kathryn A. via phone (509) 299-1001.

Contact Information

Primary practice address
S 2320 Salnave Road Medical Lake WA 99022-0200
Phone: (509) 299-1001
Fax: (509) 299-1070
Website:
Map and Directions
Authorized official contact:
Name: Montague, Kathryn A.
Phone: (509) 299-1001

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1366594228
LBN Legal business name Lakeland Village
DBA Doing business as
Authorized official Montague, Kathryn A.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366594228 NPPES
Washington MEDICAID 4012001

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