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Organization

LAKEVIEW HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH LARABY (BOARD PRESIDENT)
(507) 793-2349
Entity
Organization

Contact information

Practice address
941 COUNTY ROAD 9, HERON LAKE, MN 56137-1408
(507) 793-2349
(507) 793-2355
Mailing address
PO BOX 197, HERON LAKE, MN 56137-0197
(507) 793-2349
(507) 793-2355

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
331784
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9390LA
BCBS PROVIDER #
MN
01
NH0233
UCARE PROVIDER #
MN
Enumeration date
09/21/2006
Last updated
08/22/2020
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