Organization
LAKEVIEW HEALTHCARE OPERATING LLC
Active
Other names
Lakeview Healthcare & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE ZIDELE (MEMBER)
(716) 374-2526
Entity
Organization
Contact information
Practice address
15 W WILLOW ST, SMETHPORT, PA 16749-1523
(814) 887-5716
Mailing address
15 W WILLOW ST # A, SMETHPORT, PA 16749-1523
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
07/23/2024
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