| NPI | 1427769843 |
|---|---|
| Doing Business As | LAKESIDE HEALTH & REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | JOSEPH LIEBERMAN Vice President Of Procurement 646-275-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |