Organization
GENETIVITY, LLC THE LAKESIDE VILLAGE
Active
Other names
The Lakeside Village
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEE ECKLEY RN (MANAGER)
(641) 755-3443
Entity
Organization
Contact information
Practice address
2067 HIGHWAY 4, PANORA, IA 50216-8601
(641) 755-3443
(641) 755-3980
Mailing address
2067 HIGHWAY 4, PANORA, IA 50216-8601
(641) 755-3443
(641) 755-3980
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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