LAKESHORE INN NURSING HOME INC
Skilled Nursing Facility
Waseca, Minnesota
Provider NPI: 1457355844
Organization Information:Organization Name: LAKESHORE INN NURSING HOME INC
Practice Location:
108 8TH ST NW WASECA, MN 56093 US
Tel: 507-835-2800 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
108 8TH ST NW WASECA, MN 56093 US
Tel: 507-835-2800 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MN | 9058850 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS OF MN | 8656LA | MN | 01 |
MEDICA | 7100427 | MN | 01 |
UCARE/SCHA | NH0444 | MN | 01 |
593043000 | MN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin