Lakeside Skilled Care LLC
NPI #1073484374 in Woodbury, Minnesota
Provider Information
- NPI Number
- 1073484374
- Entity Type
- Organization
- Organization Name
- Lakeside Skilled Care LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 17, 2025
- Last Updated
- Sep 17, 2025
Practice Location
Authorized Official
- Name
- FARAH MOHAMED MOHAMOUD
- Title
- OWNER
- Phone
- (701) 885-9006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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