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Organization
LEXINGTON HEALTHCARE LLC
Active
Organization
LEXINGTON HEALTHCARE LLC
Active
Other names
Allis Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA CAMPBELL (ACCOUNTS RECEIVABLE MANAGER)
(859) 255-0075
Entity
Organization
Contact information
Practice address
9047 W GREENFIELD AVE, WEST ALLIS, WI 53214-2808
(414) 453-9290
(859) 281-5150
Mailing address
1050 CHINOE RD, STE 350, LEXINGTON, KY 40502-6571
(859) 255-0075
(859) 281-5150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1029
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20195000
—
WI
Enumeration date
09/15/2005
Last updated
09/03/2012
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