| NPI | 1992902498 |
|---|---|
| Doing Business As | LAKESIDE REHABILITATION AND CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD CHUMLEY President 806-396-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-06-15 |