Reliant Lakeside Holdings LLC
NPI #1124385000 in Dallas, Pennsylvania
Provider Information
- NPI Number
- 1124385000
- Entity Type
- Organization
- Organization Name
- Reliant Lakeside Holdings LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 18, 2012
- Last Updated
- Apr 18, 2012
Practice Location
- Address
- RR 4 BOX 357
- City
- Dallas
- State
- Pennsylvania
- ZIP Code
- 18612-9236
- Phone
- (570) 639-1885
Authorized Official
- Name
- MARC MYZAL
- Title
- COO
- Phone
- (215) 558-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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