| NPI | 1750820494 |
|---|---|
| Doing Business As | LAKE SHORE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | FRANCES MEEHAN Attorney 312-521-2467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |