Organization
LAKEWOOD CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDITH E BEAM (OWNER)
(704) 483-7000
Entity
Organization
Contact information
Practice address
7981 OPTIMIST CLUB ROAD, DENVER, NC 28037-0177
(704) 483-7000
(704) 483-3953
Mailing address
PO BOX 177, DENVER, NC 28037-0177
(704) 483-7000
(704) 483-3953
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL055003
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801322
—
NC
Enumeration date
06/04/2007
Last updated
08/22/2020
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