Organization
LAKEWOOD PLACE, LLC
Active
Other names
Lakewood Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTINA LANDIS TRENTHAM (EXECUTIVE YP OF OPERATIONS & CLINIC)
(865) 293-6563
Entity
Organization
Contact information
Practice address
1125 GROVE STREET, LOUDON, TN 37774
(865) 458-4123
(865) 458-0960
Mailing address
1125 GROVE STREET, LOUDON, TN 37774
(865) 458-4123
(865) 458-0960
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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