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

Reliant Lakeside Holdings LLC

Organization Skilled Nursing Facility · NPI 1124385000

Reliant Lakeside Holdings LLC is a Skilled Nursing Facility in Dallas, Pennsylvania. Registered with an NPI since 2012.

In the registry since
2012
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

Rr 4 Box 357
Dallas, PA 18612-9236
Phone: (570) 639-1885
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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 number1124385000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Myzal — Coo · (215) 558-3700
Other names Lakeside Health And Rehabilitation Center
NPI enumeratedApril 18, 2012
Last updated in NPPESApril 18, 2012
Mailing address3601 Island Ave, Philadelphia, PA 19153-3228

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