Provider Demographics
NPI:1619350386
Name:LAKEVIEW ASSISTED LIVING, INC.
Entity Type:Organization
Organization Name:LAKEVIEW ASSISTED LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-225-3370
Mailing Address - Street 1:3420 CLEMSON BLVD
Mailing Address - Street 2:UNIT 17
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-1324
Mailing Address - Country:US
Mailing Address - Phone:864-225-3370
Mailing Address - Fax:864-225-0215
Practice Address - Street 1:320 CAMP RD
Practice Address - Street 2:
Practice Address - City:WALHALLA
Practice Address - State:SC
Practice Address - Zip Code:29691-4811
Practice Address - Country:US
Practice Address - Phone:864-638-5212
Practice Address - Fax:864-638-0003
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SENIOR SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCCRC-0086310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility