Organization
LAKESIDE GUEST HOME, INC.
Active
Organization
LAKESIDE GUEST HOME, INC.
Active
Other names
ROLLING HILLS RESIDENTIAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA KAY BISHOP (LICENSEE/ADMINISTRATOR)
(805) 610-7861
Entity
Organization
Contact information
Practice address
9220 MT VIEW DR, ATASCADERO, CA 93422-5016
(805) 466-0250
Mailing address
9220 MT VIEW DR, ATASCADERO, CA 93422-5016
(805) 466-0250
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
CA
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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