Southshore Operations, LLC
NPI #1720441488 in Worthington, Minnesota
Provider Information
- NPI Number
- 1720441488
- Entity Type
- Organization
- Organization Name
- Southshore Operations, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 31, 2016
- Last Updated
- Mar 31, 2016
Practice Location
- Address
- 1307 S SHORE DR
- City
- Worthington
- State
- Minnesota
- ZIP Code
- 56187-1344
- Phone
- (507) 376-3175
Authorized Official
- Name
- MR. EPHRAM MORDY LAHASKY
- Title
- PRESIDENT/MANAGER
- Phone
- (646) 772-3668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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