Lakeside Care Center LLC
NPI #1619985918 in Sand Springs, Oklahoma
Provider Information
- NPI Number
- 1619985918
- Entity Type
- Organization
- Organization Name
- Lakeside Care Center LLC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Aug 3, 2006
- Last Updated
- Apr 13, 2011
Practice Location
- Address
- 1025 N ADAMS RD
- City
- Sand Springs
- State
- Oklahoma
- ZIP Code
- 74063-8110
- Phone
- (918) 245-5908
Authorized Official
- Name
- MRS. PATTY JEAN EISENMANN, ADMINISTRATOR
- Title
- ADMINISTRATOR
- Phone
- (918) 545-5908
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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