Organization
LAKESHORE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INACTIVE INACTIVE (OWNER)
(612) 333-1233
Entity
Organization
Contact information
Practice address
918 W LAKE ST, MINNEAPOLIS, MN 55408-2857
(651) 352-0147
Mailing address
918 W LAKE ST, MINNEAPOLIS, MN 55408-2857
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
01/26/2026
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