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Lakeland Village
Intellectual Disabilities Intermediate Care Facility in Medical Lake, Washington
NPI 1366594228

Lakeland Village is a Intellectual Disabilities Intermediate Care Facility based in Medical Lake, WA. Lakeland Village practices in Medical Lake, WA. The NPI Number for Lakeland Village is 1366594228 and holds a License No. (Washington).

The current practice location address for Lakeland Village is S 2320 Salnave Road, Medical Lake, WA and can be reached out via phone at 509-299-1001 and via fax at 509-299-1070.

Location: S 2320 Salnave Road, Medical Lake, WA, 99022-0200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366594228
Provider Name
Lakeland Village
Credential
Provider Entity Type
Organization
Address
S 2320 Salnave Road, Medical Lake, WA, 99022-0200
Phone Number
509-299-1001
Fax Number
509-299-1070
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4012001 05 WA
institution
Provider Business Practice Location Address Details
Address
S 2320 Salnave Road
City
Medical Lake
State
Washington
Zip
99022-0200
Phone Number
509-299-1001
Fax Number
509-299-1070
person
Provider Business Mailing Address Details
Address
S 2320 Salnave Road
City
Medical Lake
State
Washington
Zip
99022-0200
Phone Number
509-299-1001
Fax Number
509-299-1070
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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