Organization · Type 2 NPI

Dear Inc

Assisted Living Facility · North East, PA

NPI number 1932264892 Active

Practice location

12430 Lake Rd
North East, PA 16428-3545

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	408570 (PA)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

NPI record

NPI: 1932264892
Entity type: Organization (Type 2)
Issued: Dec 22, 2006
Last updated: Aug 22, 2020
Status: Active

Other names

<unavail>
Lakeview Estate Assisted Living Facility · doing business as

Authorized official

Mrs. Diane Dorothy Diroll, R.N. M.S.
Owner Administrator
(814) 725-4850

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1932264892

Dear Inc's National Provider Identifier is 1932264892, issued on Dec 22, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in North East, PA. The record was last updated on Aug 22, 2020.