LAKESIDE RESIDENTIAL CARE INC

WINCHESTER, ID
NPI1700672045
Entity TypeOrganization
Authorized ContactBRIAN J BAGLEY
President
208-790-4162
Organization Subpart ?No
Primary Taxonomy310400000X Assisted Living Facility
Enumeration Date2025-04-15
Last Update Date2025-04-15
Business Address
LAKESIDE RESIDENTIAL CARE INC
605 JOSEPH AVE
WINCHESTER, ID 83555-5034
Phone number: 208-790-4162
Mailing Address
LAKESIDE RESIDENTIAL CARE INC
PO BOX 874
LEWISTON, ID 83501-0874
Phone number: 208-790-4162