Organization
LAKEWOOD HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH T REYCRAFT (CFO)
(218) 894-8194
Entity
Organization
Contact information
Practice address
401 PRAIRIE AVE NE, STAPLES, MN 56479-3201
(218) 894-1515
(218) 898-7596
Mailing address
401 PRAIRIE AVE NE, STAPLES, MN 56479-3201
(218) 894-1515
(218) 898-7596
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
376427
MN
Other
Enumeration date
10/28/2005
Last updated
06/09/2025
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