| NPI | 1225437460 |
|---|---|
| Doing Business As | LAKESIDE COMMUNITY LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | JEANINE ANN URAN Administrator 701-627-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ND 8088) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |