NPI 1861073603
American Lake Healthcare, INC.
Practice location
- Address
- 11411 Bridgeport Way SW, Lakewood, WA 98499-3047
- Phone
- (253) 581-9002
- Fax
- (253) 581-7016
Authorised official
- Name
- Soon Burnam
- Title
- Treasurer
- Phone
- (949) 540-1249
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1861073603
- Entity type
- Organization
- NPI issued
- 14 Apr 2021
- Record last updated
- 17 Feb 2022
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.