Organization
LAKESIDE TERRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED J STRAHM (ADMINISTRATOR)
(785) 284-3471
Entity
Organization
Contact information
Practice address
1100 HARRISON, SABETHA, KS 66534
(785) 284-3471
(785) 284-3697
Mailing address
511 PARAMOUNT ST, SABETHA, KS 66534
(785) 284-3471
(785) 284-3697
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
N066007
KS
Other
Enumeration date
03/03/2006
Last updated
08/22/2020
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