Organization
LAKEVIEW SENIOR CARE & LIVING CENTER LLC
Active
Other names
Lakeview Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EPERESI (CFO)
(814) 265-1164
Entity
Organization
Contact information
Practice address
15 W WILLOW ST, SMETHPORT, PA 16749-1523
(814) 887-5716
Mailing address
8796 ROUTE 219, BROCKWAY, PA 15824-6010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
194802
PA
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001800170-0001
—
PA
Enumeration date
05/05/2006
Last updated
08/27/2020
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