Ghc of Lakeside, LLC
NPI #1790789170 in Lakeside, California
Provider Information
- NPI Number
- 1790789170
- Entity Type
- Organization
- Organization Name
- Ghc of Lakeside, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 13, 2005
- Last Updated
- Aug 5, 2024
Practice Location
- Address
- 11962 WOODSIDE AVE
- City
- Lakeside
- State
- California
- ZIP Code
- 92040-2914
- Phone
- (619) 561-1222
Authorized Official
- Name
- LOIS MASTROCOLA
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (714) 241-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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