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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