| NPI | 1881640829 |
|---|---|
| Doing Business As | LAKESIDE OAKS CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JOEL J. GAITAN Manager 727-733-4189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF15100962) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2012-08-02 |