Organization
LAKE WAY SNF OPERATIONS LLC
Active
Parent organization
LAKE WAY SNF OPERATIONS LLC
Other names
Lake Way Rehabilitation and Healthcare Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE WAY SNF OPERATIONS LLC
Authorized official
MENUCHA GOODMAN (AUTHORIZED OFFICIAL)
(848) 201-8402
Entity
Organization
Contact information
Practice address
2607 MAIN ST, BENTON, KY 42025-7601
(270) 527-3296
Mailing address
2607 MAIN ST, BENTON, KY 42025-7601
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
02/04/2026
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