Organization
LAKESIDE SENIOR LIVING ALF OPERATIONS LLC
Active
Other names
Lakeside Senior
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LIEBERMAN (VICE PRESIDENT OF PROCUREMENT)
(646) 275-4510
Entity
Organization
Contact information
Practice address
2125 HILLIARD RD, RICHMOND, VA 23228-4600
(703) 379-7200
Mailing address
2125 HILLIARD RD, RICHMOND, VA 23228-4600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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