Organization · Type 2 NPI

Lakewood Nursing Center Inc

Skilled Nursing Facility · Crescent City, FL

NPI number 1972505949 Active

Practice location

100 N Lake St
Crescent City, FL 32112-2620

Fax (386) 698-2717

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

5 other providers at this address

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NPI record

NPI: 1972505949
Entity type: Organization (Type 2)
Issued: Aug 10, 2005
Last updated: Jul 18, 2019
Status: Active

Other names

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Putnam Council On Aging, Inc. · former legal business name
Putnam Council On Aging, Inc. · former legal business name

Authorized official

Robert W Hagan
President
(770) 993-4000

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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.

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About NPI 1972505949

Lakewood Nursing Center Inc's National Provider Identifier is 1972505949, issued on Aug 10, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Crescent City, FL. The record was last updated on Jul 18, 2019.