Provider Demographics
NPI:1851598494
Name:LAKEWOOD FOUNDATION
Entity Type:Organization
Organization Name:LAKEWOOD FOUNDATION
Other - Org Name:A NEW DAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATION ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:FTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-226-7776
Mailing Address - Street 1:1450 BELLE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-4202
Mailing Address - Country:US
Mailing Address - Phone:216-226-7776
Mailing Address - Fax:216-529-8685
Practice Address - Street 1:1450 BELLE AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4202
Practice Address - Country:US
Practice Address - Phone:216-226-7776
Practice Address - Fax:216-529-8685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child