Organization
LAKESIDE MANOR NURSING & REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAHIM UDDIN (PRESIDENT)
(248) 593-1990
Entity
Organization
Contact information
Practice address
13990 LAKESIDE CIR, STERLING HEIGHTS, MI 48313-1318
(586) 488-1400
(844) 276-4323
Mailing address
30700 TELEGRAPH RD, SUITE 2504, BINGHAM FARMS, MI 48025-4524
(248) 593-1990
(248) 593-9120
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
02/10/2017
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