Lake Side Living
Lake Side Living is an In Home Supportive Care Agency in Moorhead, Minnesota. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
1830 40th Ave S Apt 213Moorhead, MN 56560-7924
Phone: (701) 818-5636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|
Record details
| NPI number | 1669317129 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Abdirahim Ismail — Rn · (218) 880-1006 |
| NPI enumerated | April 21, 2026 |
| Last updated in NPPES | April 21, 2026 |
| Certification date | April 21, 2026 |
| Mailing address | 1830 40th Ave S Apt 213, Moorhead, MN 56560-7924 |
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