| NPI | 1467827816 |
|---|---|
| Doing Business As | THE LAKESIDE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | DEE ECKLEY Manager 641-755-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |