Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKE SHORE TREATEMENT CENTER LLC
Active OrganizationLAKE SHORE TREATEMENT CENTER LLC is a Substance Abuse Rehabilitation Facility organization located in MAHTOMEDI, Minnesota. NPI 1023430519 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · MAHTOMEDI, MN
Registration Details
- NPI Number
- 1023430519
- Provider Type
- Organization
- NPI Issued
- Jan 17, 2014 (12.616275792576 yrs)
- Last Updated
- Feb 20, 2025
- License
-
1067244 (MN)
Practice Information
- Address
-
140 QUAIL STMAHTOMEDI, MN, 551151941Browse MN providers · Browse ZIP 55115
- Phone
- 6123267600
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.