Organization
CHC LAKESIDE NURSING CENTER, LLC
Active
Other names
Lakeside Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
BOYD WRIGHT (COO)
(870) 347-0001
Entity
Organization
Contact information
Practice address
1207 WILLOW RUN ST, LAKE CITY, AR 72437-9520
(870) 237-8151
(870) 237-4011
Mailing address
305 HIGHWAY 64 E STE D, AUGUSTA, AR 72006-5158
(870) 347-0001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
08/08/2024
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