Organization
SOUTHSHORE OPERATIONS, LLC
Active
Other names
South Shore Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EPHRAM MORDY LAHASKY (PRESIDENT/MANAGER)
(646) 772-3668
Entity
Organization
Contact information
Practice address
1307 S SHORE DR, WORTHINGTON, MN 56187-1344
(507) 376-3175
(507) 376-9042
Mailing address
1307 S SHORE DR, WORTHINGTON, MN 56187-1344
(507) 376-3175
(507) 376-9042
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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