| NPI | 1174892947 |
|---|---|
| Doing Business As | LAKESIDE OAKS CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH USSERY VP 407-571-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF15100962) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2023-11-27 |