Organization · Type 2 NPI
Lakeside RTC LLC
Emotionally Disturbed Childrens' Residential Treatment Facility · Wauchula, FL
NPI number
1811804362
Active
Practice location
1962 Vandolah Rd
Wauchula, FL 33873-8726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Hospital | 283X00000X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Physical Disabilities Residential Treatment Facility | 320700000X | None listed |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
13 other providers at this address
- Lakeside RTF LLCIntellectual and/or Developmental Disabilities Residential Treatment Facility Wauchula, FL NPI 1841194750
- Lakeside SNF LLCSkilled Nursing Facility Wauchula, FL NPI 1861093981
- Lakeside Tlf, LLCRehabilitation Hospital Wauchula, FL NPI 1134722820
- Carrie Lynn Friedman, PTPhysical Therapist Wauchula, FL NPI 1881804045
- Hunter Marie Williams, PTPhysical Therapist Wauchula, FL NPI 1326258559
- Kevin E. O'Keefe, PSYDRehabilitation Psychologist Wauchula, FL NPI 1861699977
- Lauren Raden, OTRLNeurorehabilitation Occupational Therapist Wauchula, FL NPI 1760694582
- Melissa K. Johnston, OTRLOccupational Therapist Wauchula, FL NPI 1467674341
- Rebecca Block, CCC-SLPSpeech-Language Pathologist Wauchula, FL NPI 1467662940
- Ruth Ann Rauch, COTA/LOccupational Therapy Assistant Wauchula, FL NPI 1972859437
- Sarah Harvey, O.T.Occupational Therapist Wauchula, FL NPI 1467406793
- Shannon Gormel Beattie, CCC-SLPSpeech-Language Pathologist Wauchula, FL NPI 1861601510
About NPI 1811804362
Lakeside RTC LLC's National Provider Identifier is 1811804362, issued on Aug 27, 2026. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Wauchula, FL. The record was last updated on Aug 28, 2026.