LAKESIDE NURSING HOME, INC
Nursing at Trumansburg Rd, Ithaca, NY

License number
New York 5401307N
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: MR. PATRICK M DEPTULA
Title: ADMINISTRATOR
Phone: (607) 273-8072
Address
Address
1229 Trumansburg Rd, Ithaca, NY 14850
National Provider ID: 1053535617
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LAKESIDE NURSING HOME, INC at bizstanding.com

LAKESIDE NURSING HOME, INC

1229 Trumansburg Rd, Ithaca, NY 14850

Status:
Inactive
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Feb 15, 1972
Inactive since:
Jun 25, 2003
State ID:
323772
Business type:
Domestic Business Corporation
David E Barlow, 1229 Trumansburg Rd, Ithaca, NY 14850 (Physical)

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