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Organization

LAKEVIEW VILLAGE, INC

Active
Other names
Lakeview Village
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT I CLAUSEN JR. CPA (CHIEF FINANCIAL OFFICER)
(913) 744-2470
Entity
Organization

Contact information

Practice address
13840 W 91ST TER, LENEXA, KS 66215-3299
(913) 888-1900
(913) 888-4141
Mailing address
9100 PARK ST, LENEXA, KS 66215-3353
(913) 888-1900
(913) 888-4141

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N046007
KS
314000000X
Skilled Nursing Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1042147001
KS
01
MS-2004
EDS
KS
Enumeration date
06/28/2005
Last updated
03/19/2014
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