| NPI | 1326162413 |
|---|---|
| Doing Business As | ECUMEN LAKESHORE |
| Entity Type | Organization |
| Authorized Contact | LORETTA M LEWIS Sr. Credentialing Specialist 651-766-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 332007) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2024-05-07 |