# LAKEVIEW MANOR, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeview Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710973664
- **Authorized official:** MR. TIMOTHY DEAN PAINO (PRESIDENT)
- **Authorized official phone:** (317) 243-3721

## Contact information

- **Practice address:** 45 BEACHWAY DR, INDIANAPOLIS, IN 46224-8501
- **Practice address phone:** (317) 243-3721
- **Practice address fax:** (317) 240-4357
- **Mailing address:** 45 BEACHWAY DR, INDIANAPOLIS, IN 46224-8501
- **Mailing address phone:** (317) 243-3721
- **Mailing address fax:** (317) 240-4357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 04-000032-01 | IN | Yes |

## Other

- **Enumeration date:** 09/26/2005
- **Last updated:** 08/22/2020