# LAKE PRINCE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Prince Woods
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073500310
- **Authorized official:** PAULA SUTTON WHITE (ACCOUNTS RECEIVABLE MANAGER)
- **Authorized official phone:** (828) 465-8021

## Contact information

- **Practice address:** 100 ANNA GOODE WAY, SUFFOLK, VA 23434-9236
- **Practice address phone:** (757) 923-5500
- **Practice address fax:** (757) 923-5502
- **Mailing address:** 100 ANNA GOODE WAY, SUFFOLK, VA 23434-9236
- **Mailing address phone:** (757) 923-5500
- **Mailing address fax:** (757) 923-5502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2752 | VA | Yes |

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 01/04/2021