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Organization
LAKESIDE MOUNTAIN MANOR OPCO LLC
Active
Organization
LAKESIDE MOUNTAIN MANOR OPCO LLC
Active
Other names
Lakeside Mountain Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HASTINGS (OWNER)
(417) 399-3819
Entity
Organization
Contact information
Practice address
238 HARMONY HTS, FORSYTH, MO 65653-5533
(417) 546-5595
Mailing address
401 NW 10TH ST, BLUE SPRINGS, MO 64015-3749
(816) 815-0403
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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