Organization
MAAAK INC
Active
Other names
LAKESIDE MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
KAY CABUCO RN (OWNER)
(314) 495-1867
Entity
Organization
Contact information
Practice address
9308 EMERALD GROVE AVE, LAKESIDE, CA 92040-3718
(619) 439-8488
Mailing address
9308 EMERALD GROVE AVE, LAKESIDE, CA 92040-3718
(619) 439-8488
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/31/2022
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