Organization
LAKE VILLAGE OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F PONTHIE (MEMBER)
(318) 216-3316
Entity
Organization
Contact information
Practice address
903 BORGOGNONI DR, LAKE VILLAGE, AR 71653-1623
(870) 265-5337
Mailing address
903 BORGOGNONI DR, LAKE VILLAGE, AR 71653-1623
(870) 265-5337
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
03/11/2026
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