# LAKE REGION CORPORATION

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

## Provider details

- **NPI number:** 1932821402
- **Authorized official:** SANDRA SVEDBERG (CFO)
- **Authorized official phone:** (701) 662-8681

## Contact information

- **Practice address:** 340 2ND AVE SW, LEEDS, ND 58346
- **Practice address phone:** (701) 662-8681
- **Mailing address:** 224 3RD ST NW, DEVILS LAKE, ND 58301-2908
- **Mailing address phone:** (701) 662-8681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2022
- **Last updated:** 09/13/2022