Organization
SUMMIT VIEW OF LAKE CITY, LLC
Active
Other names
Lake City Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD E LAWRENCE NHA, MBA (OWNER, PRESIDENT)
(865) 675-6444
Entity
Organization
Contact information
Practice address
204 INDUSTRIAL PARK LN, LAKE CITY, TN 37769-2301
(865) 426-2147
(865) 426-7144
Mailing address
204 INDUSTRIAL PARK LN, LAKE CITY, TN 37769-2301
(865) 426-2147
(865) 426-7144
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445259
—
TN
01
—
114355
BC/BS
TN
05
—
7440360
—
TN
Enumeration date
08/07/2006
Last updated
01/20/2021
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