Lakeside Tlf, LLC

NPI #1134722820 in Wauchula, Florida

Provider Information

NPI Number
1134722820
Entity Type
Organization
Organization Name
Lakeside Tlf, LLC
Primary Specialty
Rehabilitation Hospital
Enumeration Date
Nov 17, 2020
Last Updated
Nov 17, 2020

Practice Location

Address
1962 VANDOLAH RD
State
Florida
ZIP Code
33873-8726
Phone
(800) 697-5390

Authorized Official

Name
DR. MANEESH BANSAL, MD
Title
COO
Phone
(800) 697-5390

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Residential Treatment Facility, Physical Disabilities
Residential Treatment Facility, Emotionally Disturbed Children
Rehabilitation Hospital

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