| NPI | 1720810880 |
|---|---|
| Doing Business As | LAKESHORE POST ACUTE AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Treasurer 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-16 |