| NPI | 1235840653 |
|---|---|
| Doing Business As | LAKESIDE SENIOR |
| Entity Type | Organization |
| Authorized Contact | JOSEPH LIEBERMAN Vice President Of Procurement 646-275-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |