Lakeside Guest Home, Inc.
NPI #1306018361 in Atascadero, California
Provider Information
- NPI Number
- 1306018361
- Entity Type
- Organization
- Organization Name
- Lakeside Guest Home, Inc.
- Primary Specialty
- Assisted Living Facility - Assisted Living, Behavioral Disturbances
- Enumeration Date
- Mar 31, 2008
- Last Updated
- Mar 31, 2008
Practice Location
- Address
- 9220 MT VIEW DR
- City
- Atascadero
- State
- California
- ZIP Code
- 93422-5016
- Phone
- (805) 466-0250
Authorized Official
- Name
- DIANA KAY BISHOP
- Title
- LICENSEE/ADMINISTRATOR
- Phone
- (805) 610-7861
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances |
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