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Organization

LAKES COMMUNITIES INC

Active
Other names
Colonial Manor Nursing Home
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICE GOETTE (ADMINISTRATOR)
(507) 662-6646
Entity
Organization

Contact information

Practice address
403 COLONIAL AVE, LAKEFIELD, MN 56150-9573
(507) 662-6646
(507) 662-5531
Mailing address
403 COLONIAL AVE, LAKEFIELD, MN 56150-9573
(507) 662-6646
(507) 662-5531

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
335723
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
075487000
MN
Enumeration date
03/06/2008
Last updated
05/27/2008
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