| NPI | 1639676943 |
|---|---|
| Doing Business As | LAKESIDE HEALTH AND WELLNESS SUITES |
| Entity Type | Organization |
| Authorized Contact | SCOTT HILLEGASS Authorized Official 702-605-9083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-08-14 |