NPI 1780734509
Lakeland Village Nursing Facility
Practice location
- Address
- S 2320 Salnave Road, Medical Lake, WA 99022-0200
- Phone
- (509) 299-1989
- Fax
- (509) 299-1070
- Mailing address
- PO Box 200, Medical Lake, WA 99022-0200
Authorised official
- Name
- Steven Earl Kellen
- Title
- Assistant Superintendent
- Phone
- (509) 299-1989
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1780734509
- Entity type
- Organization
- NPI issued
- 12 Jan 2007
- Record last updated
- 20 Jun 2008
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.