| NPI | 1902040223 |
|---|---|
| Doing Business As | LAKESIDE REHABILITATION AND CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | KERI POWELL President 806-793-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |