# LAKESIDE RTF LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAKESIDE OPCO INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841194750
- **Legal business name:** LAKESIDE OPCO INC
- **Authorized official:** MS. ELIZABETH CHOQUETTE (BOM)
- **Authorized official phone:** (863) 773-2857

## Contact information

- **Practice address:** 1962 VANDOLAH RD, WAUCHULA, FL 33873-8726
- **Practice address phone:** (863) 773-2857
- **Mailing address:** 1962 VANDOLAH RD, WAUCHULA, FL 33873-8726
- **Mailing address phone:** (863) 773-2857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 283X00000X | Rehabilitation Hospital | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 10/05/2026
- **Last updated:** 10/05/2026