# LAKEWOOD SENIOR LIVING OF HAVILAND LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447322342
- **Authorized official:** THOMAS KENT (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (205) 320-7554

## Contact information

- **Practice address:** 200 MAIN ST, HAVILAND, KS 67059-9525
- **Practice address phone:** (620) 862-5315
- **Mailing address:** 3008 7TH AVE S, BIRMINGHAM, AL 35233-3503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | N049002 | KS | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 08/22/2020