Lake Shore Treatement Center LLC
Lake Shore Treatement Center LLC is a Substance Abuse Rehabilitation Facility in Mahtomedi, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.
- Licensed in
- MN
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
140 Quail StMahtomedi, MN 55115-1941
Phone: (612) 326-7600
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 1067244 (MN) |
|---|
Record details
| NPI number | 1023430519 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lewis Zeidner — Ceo · (763) 245-8278 |
| Other names | Eosis Lakeshore |
| NPI enumerated | January 17, 2014 |
| Last updated in NPPES | February 20, 2025 |
| Mailing address | 550 Main St Ste 230, New Brighton, MN 55112-3274 |