Organization
LAKEVIEW HEALTHCARE, INC
Active
Other names
Queen City Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN K CAIN (PRESIDENT)
(228) 831-3001
Entity
Organization
Contact information
Practice address
1201 28TH AVE, MERIDIAN, MS 39301-3810
(601) 483-1467
(601) 483-1483
Mailing address
16411 ROBINSON RD, GULFPORT, MS 39503-4879
(228) 831-3001
(228) 831-0408
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
11731
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230008
—
MS
Enumeration date
07/03/2006
Last updated
07/13/2015
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