Organization
LAKESIDE REST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH OVERSTREET (OWNER)
(478) 237-9427
Entity
Organization
Contact information
Practice address
924 CRUMP ST, SWAINSBORO, GA 30401-5557
(478) 237-9427
(478) 237-9429
Mailing address
924 CRUMP ST, SWAINSBORO, GA 30401-5557
(478) 237-9427
(478) 237-9429
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
GA
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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