# LAKEVIEW REHAB AT HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841548708
- **Authorized official:** MICHAEL AGUILAR (CORPORATE DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (512) 973-9700

## Contact information

- **Practice address:** 507 S MARKET ST, SUITE T1, WESTFIELD, WI 53964-9046
- **Practice address phone:** (603) 296-4195
- **Practice address fax:** (603) 296-4203
- **Mailing address:** 507 S MARKET ST, SUITE T1, WESTFIELD, WI 53964-9046
- **Mailing address phone:** (603) 296-4195
- **Mailing address fax:** (603) 296-4203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1141 | WI | Yes |

## Other

- **Enumeration date:** 08/27/2012
- **Last updated:** 08/27/2012