Lakeside Nursing Home, INC
NPI #1053535617 in Ithaca, New York
Provider Information
- NPI Number
- 1053535617
- Entity Type
- Organization
- Organization Name
- Lakeside Nursing Home, INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. PATRICK M DEPTULA
- Title
- ADMINISTRATOR
- Phone
- (607) 273-8072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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