Maybrook-P Lakeside Opco, LLC
NPI #1144681719 in Dallas, Pennsylvania
Provider Information
- NPI Number
- 1144681719
- Entity Type
- Organization
- Organization Name
- Maybrook-P Lakeside Opco, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 10, 2016
- Last Updated
- Nov 15, 2016
Practice Location
- Address
- 245 OLD LAKE RD
- City
- Dallas
- State
- Pennsylvania
- ZIP Code
- 18612-3154
- Phone
- (570) 639-1885
Authorized Official
- Name
- EPHRAM M LAHASKY
- Title
- MEMBER
- Phone
- (646) 772-3668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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