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Organization
LAKESIDE HEALTH AND REHAB CENTER LLC
Active
Organization
LAKESIDE HEALTH AND REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MO WEINTRAUB (AUTHORIZED OFFICIAL)
(217) 854-4433
Entity
Organization
Contact information
Practice address
1200 UNIVERSITY ST, CARLINVILLE, IL 62626-9600
(217) 854-4433
Mailing address
575 ROUTE 70, BRICK, NJ 08723-4042
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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