| Lakewood House | |
|
218 Circle Dr Salem IL 62881-3539 | |
| (618) 548-3278 | |
| Not Available |
| Full Name | Lakewood House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 218 Circle Dr, Salem, Illinois |
| Authorized Official Name and Position | David C Armbrust (MANAGER) |
| Authorized Official Contact | 6185483278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood House Po Box 745 Salem IL 62881-0745 Ph: (618) 548-0309 | Lakewood House 218 Circle Dr Salem IL 62881-3539 Ph: (618) 548-3278 |
| NPI Number | 1700227360 |
|---|---|
| Provider Enumeration Date | 07/11/2013 |
| Last Update Date | 07/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700227360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 201200007M (Illinois) | Primary |
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