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Organization
LAKEVIEW NEUROREHAB CENTER MIDWEST, INC
Active
Organization
LAKEVIEW NEUROREHAB CENTER MIDWEST, INC
Active
Parent organization
LAKEVIEW NEUROREHAB CENTER MIDWEST, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKEVIEW NEUROREHAB CENTER MIDWEST, INC
Authorized official
MR. CHRISTOPHER SCOTT SLOVER (CEO)
(511) 773-8076
Entity
Organization
Contact information
Practice address
1701 SHARP RD, WATERFORD, WI 53185-5214
(262) 534-7297
(262) 534-7257
Mailing address
1701 SHARP RD, WATERFORD, WI 53185-5214
(262) 534-7297
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
283X00000X
Rehabilitation Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11022100
—
WI
Enumeration date
12/17/2021
Last updated
06/22/2023
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