Organization
LAKESIDE ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANNE LEMMER (ADMINISTRATOR)
(605) 472-2191
Entity
Organization
Contact information
Practice address
1010 W 5TH ST, REDFIELD, SD 57469-2026
(605) 472-2191
(605) 472-2194
Mailing address
1010 W 5TH ST, REDFIELD, SD 57469-2026
(605) 472-2191
(605) 472-2194
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95781840
—
SD
Enumeration date
07/23/2015
Last updated
07/23/2015
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