NPI | 1225135353 |
---|---|
Doing Business As | LAKESIDE NEUROLOGIC |
Doing Business As | FINR |
Entity Type | Organization |
Authorized Contact | ELIZABETH CHOQUETTE Collections Manager 863-767-4484 |
Organization Subpart ? | No |
Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: FL TLF7006096) |
Additional Taxonomies | 283X00000X Rehabilitation Hospital (Licence: FL TLF70090971) |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL TLF7006096) | |
320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL TLF7006096) | |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: FL 100045445) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-06-02 |