Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakeside SNF LLC

Organization Skilled Nursing Facility · NPI 1861093981

Lakeside SNF LLC is a Skilled Nursing Facility in Wauchula, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1962 Vandolah Rd
Wauchula, FL 33873-8726
Phone: (800) 697-5390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1861093981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maneesh Bansal — Ceo · (800) 697-5390
NPI enumeratedNovember 4, 2020
Last updated in NPPESApril 14, 2021
Certification dateApril 14, 2021
Mailing address1962 Vandolah Rd, Wauchula, FL 33873-8726

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