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NPI Code Detail

MEDICARE: LAKEWOOD HEALTH CARE CENTER INC.

MEDICARE: LAKEWOOD HEALTH CARE CENTER INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1430302NNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679565550
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKEWOOD HEALTH CARE CENTER INC.
Provider Business Mailing Address
First Line : 5775 MAELOU DR
Second Line :
City : HAMBURG
State : NY
Zip : 14075-7419
Country : US
Telephone Number : 716-648-2820
Fax Number : 716-648-2980
Provider Business Practice Location Address
First Line : 5775 MAELOU DR
Second Line :
City : HAMBURG
State : NY
Zip : 14075-7419
Country : US
Telephone Number : 716-648-2820
Fax Number : 716-648-2980
Authorized Official
Title or Position : DIRECTOR OF ACCOUNTS RECEIVABLE
Name : MRS. DARLENE GALE
Credential :
Telephone Number : 716-633-0021
Provider Enumeration Date : 08/17/2005
Last Update Date : 08/22/2020

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Directions to “LAKEWOOD HEALTH CARE CENTER INC. ” Practice Location

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