# LAKEPOINT AUGUSTA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LakePoint Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225056658
- **Authorized official:** MRS. CHERYL LYNN LAVALLEE (COO)
- **Authorized official phone:** (316) 775-6333

## Contact information

- **Practice address:** 901 LAKEPOINT DR, AUGUSTA, KS 67010-2423
- **Practice address phone:** (316) 775-6333
- **Mailing address:** 901 LAKEPOINT DR, AUGUSTA, KS 67010-2423
- **Mailing address phone:** (316) 775-6333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N008005 | KS | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 12/15/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100108500A | — | KS |
| 01 | — | 175424 | MEDICARE | KS |