| NPI | 1437988789 |
|---|---|
| Doing Business As | LAKE FOREST SENIOR LIVING AT MOUNTAIN HOME |
| Entity Type | Organization |
| Authorized Contact | DANIEL MANDELBAUM CFO 718-570-6018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-09-24 |