Reliant Lakeside Holdings Llc

NPI 1124385000 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1124385000
Enumeration Date 04/18/2012
Last Updated 04/18/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MARC MARC
Position COO
Phone (570) 639-1885
Fax
Practice Location
RR 4 BOX 357
DALLAS PA, 18612-9236, US
Phone (570) 639-1885
Fax
Business Location
3601 ISLAND AVE
PHILADELPHIA PA, 19153-3228, US
Phone (215) 558-3700
Fax (215) 558-3701
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Reliant Lakeside Holdings Llc NPI is 1124385000, taxonomy code is 314000000X Reliant Lakeside Holdings Llc physically located at Rr 4 Box 357, Dallas PA, 18612-9236. NPI Number 1033115704 has the healthcare provider type.

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1124385000 NPI number is provided on an as is basis without warranty of any kind. 1124385000 is maintained by the National Plan & Provider Enumeration System. The contents of Reliant Lakeside Holdings Llc are for informational purposes only.