| NPI | 1699429167 |
|---|---|
| Doing Business As | LAKESIDE CENTER FOR REHABILITATION AND HEALING |
| Entity Type | Organization |
| Authorized Contact | SOLOMON KLEIN Member 347-909-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-03 |