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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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