| NPI | 1811913718 |
|---|---|
| Doing Business As | LAKESIDE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CINDY S CROSS Assistant Secretary 423-473-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF12830961) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2021-09-15 |