Organization
LAKEWOOD HEALTH CENTER
Active
Organization
LAKEWOOD HEALTH CENTER
Active
Other names
Lakewood Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARRAY FEICKERT (CEO)
(218) 634-2120
Entity
Organization
Contact information
Practice address
600 MAIN AVE S, BAUDETTE, MN 56623-2855
(218) 634-1795
(218) 634-3490
Mailing address
600 MAIN AVE S, BAUDETTE, MN 56623-2855
(218) 634-1795
(218) 634-3490
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
330093
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Z01LA
BLUECROSS
MN
Enumeration date
07/10/2006
Last updated
08/22/2020
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