Organization
LAKE HEALTH DISTRICT
Active
Organization
LAKE HEALTH DISTRICT
Active
Other names
Lakeview Home Health Care and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE BODELL TVEIT (CEO)
(541) 947-2114
Entity
Organization
Contact information
Practice address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
(541) 947-2433
Mailing address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
(541) 947-2433
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
13140896
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107532
MEDICAID OREGON HEALTH
OR
01
—
802595
MEDICAID ORE.HEALTH L.T.C
OR
Enumeration date
01/25/2007
Last updated
01/21/2021
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