Healthcare Provider Details

I. General information

NPI: 1770322356
Provider Name (Legal Business Name): LAKEVIEW REHABILITATION AND NURSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2024
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 GRAND DR
BIGFORK MT
59911-3563
US

IV. Provider business mailing address

1050 GRAND DR
BIGFORK MT
59911-3563
US

V. Phone/Fax

Practice location:
  • Phone: 385-498-0195
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. WENDY ANDERSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 801-360-8804