| NPI | 1386102036 |
|---|---|
| Doing Business As | LAKESIDE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | ANAND PATEL Authorized Official 469-995-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2020-10-21 |