# LAKELAND SPECIALTY HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033105549
- **Authorized official:** TERRY STANARD (ADMINISTRATOR)
- **Authorized official phone:** (269) 473-3003

## Contact information

- **Practice address:** 6418 DEANS HILL RD, BERRIEN CENTER, MI 49102-9750
- **Practice address phone:** (269) 473-3003
- **Mailing address:** 6418 DEANS HILL RD, BERRIEN CENTER, MI 49102-9750
- **Mailing address phone:** (269) 473-3003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 113010 | MI | Yes |

## Other

- **Enumeration date:** 09/21/2005
- **Last updated:** 08/22/2020