# SUMMIT VIEW OF LAKE CITY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake City Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164431003
- **Authorized official:** MR. RONALD E LAWRENCE NHA, MBA (OWNER, PRESIDENT)
- **Authorized official phone:** (865) 675-6444

## Contact information

- **Practice address:** 204 INDUSTRIAL PARK LN, LAKE CITY, TN 37769-2301
- **Practice address phone:** (865) 426-2147
- **Practice address fax:** (865) 426-7144
- **Mailing address:** 204 INDUSTRIAL PARK LN, LAKE CITY, TN 37769-2301
- **Mailing address phone:** (865) 426-2147
- **Mailing address fax:** (865) 426-7144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/07/2006
- **Last updated:** 01/20/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445259 | — | TN |
| 01 | — | 114355 | BC/BS | TN |
| 05 | — | 7440360 | — | TN |