Organization · Type 2 NPI
Lakeside Residential Care Inc
Assisted Living Facility · Winchester, ID
NPI number
1700672045
Active
Practice location
605 Joseph Ave
Winchester, ID 83555-5034
Mailing address
PO Box 874
Lewiston, ID 83501-0874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
About NPI 1700672045
Lakeside Residential Care Inc's National Provider Identifier is 1700672045, issued on Apr 15, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Winchester, ID. The record was last updated on Apr 15, 2025.