Organization
LAKESIDE NURSING AND REHABILITATION CENTER, INC.
Active
Other names
Lakeside Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
A BRANDON ADAMS (PRESIDENT)
(501) 932-0050
Entity
Organization
Contact information
Practice address
1207 WILLOW RUN ROAD, LAKE CITY, AR 72437-0578
(870) 237-8151
(870) 237-4011
Mailing address
1207 WILLOW RUN ROAD, LAKE CITY, AR 72437-0578
(870) 237-8151
(870) 237-4011
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
670
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119578311
—
AR
Enumeration date
09/22/2005
Last updated
11/12/2014
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