Organization
LAKE HOSPITAL SYSTEM, INC
Active
Other names
Lake Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT TRACZ (CFO)
(440) 953-9600
Entity
Organization
Contact information
Practice address
7590 AUBURN RD, CONCORD TWP, OH 44077-9176
(440) 953-9600
Mailing address
36000 EUCLID AVE, WILLOUGHBY, OH 44094-4625
(440) 953-9600
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
09/29/2009
Last updated
12/17/2009
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