# LAKESIDE REHABILITATION & NURSING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kadima Rehabilitation & Nursing at Lakeside
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174015853
- **Authorized official:** JONATHAN STRAUSS (MEMBER)
- **Authorized official phone:** (201) 214-8889

## Contact information

- **Practice address:** 245 OLD LAKE RD, DALLAS, PA 18612-3154
- **Practice address phone:** (570) 639-1885
- **Practice address fax:** (570) 639-5163
- **Mailing address:** 245 OLD LAKE RD, DALLAS, PA 18612-3154
- **Mailing address phone:** (570) 639-1885
- **Mailing address fax:** (570) 639-5163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/30/2018
- **Last updated:** 05/30/2018