Organization · Type 2 NPI
Lakeside Mountain Manor Opco LLC
Custodial Care Facility · Forsyth, MO
Practice location
238 Harmony Hts
Forsyth, MO 65653-5533
Mailing address
401 NW 10th St
Blue Springs, MO 64015-3749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | None listed |
Custodial Care Facility: A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or pa…
Another provider at this address
About NPI 1396674503
Lakeside Mountain Manor Opco LLC's National Provider Identifier is 1396674503, issued on May 14, 2026. The primary taxonomy on file is Custodial Care Facility (311Z00000X), and the practice location is in Forsyth, MO. The record was last updated on May 14, 2026.