Organization · Type 2 NPI
Lakeside Terrace
Intellectual Disabilities Intermediate Care Facility · Sabetha, KS
NPI number
1124095534
Active
Practice location
1100 Harrison
Sabetha, KS 66534
Fax (785) 284-3697
Mailing address
511 Paramount St
Sabetha, KS 66534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | N066007 (KS) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1124095534
Lakeside Terrace's National Provider Identifier is 1124095534, issued on Mar 3, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Sabetha, KS. The record was last updated on Aug 22, 2020.