| NPI | 1508272584 |
|---|---|
| Doing Business As | LIFE CARE CENTER OF THE SOUTH SHORE |
| Entity Type | Organization |
| Authorized Contact | CINDY S CROSS Assistant Secretary 423-473-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2021-09-15 |