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Organization
LAKEVIEW VILLAGE, INC
Active
Organization
LAKEVIEW VILLAGE, INC
Active
Other names
Lakeview Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT I CLAUSEN JR. CPA (CHIEF FINANCIAL OFFICER)
(913) 744-2470
Entity
Organization
Contact information
Practice address
13840 W 91ST TER, LENEXA, KS 66215-3299
(913) 888-1900
(913) 888-4141
Mailing address
9100 PARK ST, LENEXA, KS 66215-3353
(913) 888-1900
(913) 888-4141
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N046007
KS
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042147001
—
KS
01
—
MS-2004
EDS
KS
Enumeration date
06/28/2005
Last updated
03/19/2014
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