- Facility Name
- LAKESIDE RESIDENTIAL CARE INC
- Type / Classification
- Assisted Living Facility
- Address
- 605 JOSEPH AVE, WINCHESTER, ID 83555
- Phone Number
- (208) 790-4162
- NPI Number
- 1700672045
- Authorized Official
- BRIAN BAGLEY (President)
- Enumeration Date
- 2025-04-15