# LAKEWOOD SENIOR LIVING OF PRATT, 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:** 1699849919
- **Authorized official:** THOMAS KENT (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (205) 320-7554

## Contact information

- **Practice address:** 1221 LARIMER ST, PRATT, KS 67124-1241
- **Practice address phone:** (620) 672-6541
- **Mailing address:** 3008 7TH AVE S, BIRMINGHAM, AL 35233-3503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N076002 | KS | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 05/26/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200251070A | — | KS |