LAKE SIDE LIVING

MOORHEAD, MN
NPI1669317129
Entity TypeOrganization
Authorized ContactABDIRAHIM ISMAIL
RN
218-880-1006
Organization Subpart ?No
Primary Taxonomy253Z00000X In Home Supportive Care
Enumeration Date2026-04-21
Last Update Date2026-04-21
Business Address
LAKE SIDE LIVING
1830 40TH AVE S APT 213
MOORHEAD, MN 56560-7924
Phone number: 701-818-5636
Mailing Address
LAKE SIDE LIVING
1830 40TH AVE S APT 213
MOORHEAD, MN 56560-7924
Phone number: 701-818-5636