Organization
LAKESHORE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN REKANT (VP OF RCM)
(507) 203-1031
Entity
Organization
Contact information
Practice address
105 8TH ST NW, WASECA, MN 56093-1907
(507) 625-8741
Mailing address
638 SOUTHBEND AVE, MANKATO, MN 56001-2168
(507) 625-8741
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
09/13/2022
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