Organization
LAKEWOOD HEALTHCARE, INC.
Active
Other names
Lakewood Convalescent Home, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH A TYLER LPN, LNHA (ADMINISTRATOR)
(501) 262-1920
Entity
Organization
Contact information
Practice address
260 LAKEPARK DRIVE, HOT SPRINGS, AR 71901
(501) 262-1920
(501) 262-5237
Mailing address
260 LAKEPARK DRIVE, HOT SPRINGS, AR 71901
(501) 262-1920
(501) 262-5237
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
024
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109481311
—
AR
01
—
15404
MEDI-PAK
AR
Enumeration date
07/13/2006
Last updated
11/03/2015
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