NPI 1366594228

Lakeland Village

Organisation Intellectual Disabilities Intermediate Care Facility Medical Lake, WA

Practice location

Address: S 2320 Salnave Road, Medical Lake, WA 99022-0200
Phone: (509) 299-1001
Fax: (509) 299-1070
Mailing address: PO Box 200, Medical Lake, WA 99022-0200

Authorised official

Name: Kathryn A. Montague
Title: Superintendent
Phone: (509) 299-1001

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Washington →

Registry record

NPI: 1366594228
Entity type: Organization
NPI issued: 18 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.