| NPI | 1316439755 |
|---|---|
| Doing Business As | LAKESIDE MANOR |
| Entity Type | Organization |
| Authorized Contact | DANIEL LLOYD BAILEY President 619-561-8626 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: CA 374600038) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-16 |