Lakeside Health and Rehab Center LLC
NPI #1780374736 in Carlinville, Illinois
Provider Information
- NPI Number
- 1780374736
- Entity Type
- Organization
- Organization Name
- Lakeside Health and Rehab Center LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 12, 2023
- Last Updated
- May 12, 2023
Practice Location
- Address
- 1200 UNIVERSITY ST
- City
- Carlinville
- State
- Illinois
- ZIP Code
- 62626-9600
- Phone
- (217) 854-4433
Authorized Official
- Name
- SHULLY LICHTMAN
- Title
- MANAGER OF THE MANAGER
- Phone
- (217) 854-4433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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