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Organization

ATCHISON ENTERPRISES INCORPORATED

Active
Other names
South Shore Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA M ATCHISON (ADMINISTRATOR)
(507) 376-3175
Entity
Organization

Contact information

Practice address
1307 S SHORE DR, WORTHINGTON, MN 56187-1344
(507) 376-3175
(507) 376-9042
Mailing address
PO BOX 69, WORTHINGTON, MN 56187-0069
(507) 376-3175
(507) 376-9042

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
331949
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201042900
MN
01
9512LA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/03/2006
Last updated
05/15/2008
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