Ms Lakeside LLC
NPI #1700046521 in Quitman, Mississippi
Provider Information
- NPI Number
- 1700046521
- Entity Type
- Organization
- Organization Name
- Ms Lakeside LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GULF COAST FACILITIES LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 16, 2008
- Last Updated
- Oct 5, 2015
Practice Location
- Address
- 191 HIGHWAY 511
- City
- Quitman
- State
- Mississippi
- ZIP Code
- 39355-8320
- Phone
- (601) 766-2141
Authorized Official
- Name
- JAMES RICHARDSON
- Title
- PRESIDENT
- Phone
- (850) 430-0000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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