Organization
LAKEVIEW RANCH HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY A BERRY (CEO)
(320) 275-4027
Entity
Organization
Contact information
Practice address
69531 213TH ST, DARWIN, MN 55324-6602
(320) 275-4611
(320) 275-4030
Mailing address
69531 213TH ST, DARWIN, MN 55324-6602
(320) 275-4611
(320) 275-4030
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M124983000
—
MN
Enumeration date
04/01/2009
Last updated
04/01/2009
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