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Organization
SUMMIT VIEW OF LAKE CITY, LLC
Active
Organization
SUMMIT VIEW OF LAKE CITY, LLC
Active
Other names
Lake City Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD E LAWRENCE NHA, MBA (OWNER, PRESIDENT)
(865) 675-6444
Entity
Organization
Contact information
Practice address
204 INDUSTRIAL PARK LN, LAKE CITY, TN 37769-2301
(865) 426-2147
(865) 426-7144
Mailing address
204 INDUSTRIAL PARK LN, LAKE CITY, TN 37769-2301
(865) 426-2147
(865) 426-7144
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445259
—
TN
01
—
114355
BC/BS
TN
05
—
7440360
—
TN
Enumeration date
08/07/2006
Last updated
01/20/2021
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