| NPI | 1700558947 |
|---|---|
| Doing Business As | LAKESIDE NURSING AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | BETSY ANNE MEAD Chief Operating Officer 813-758-9263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-10-05 |