# LAKELAND HOME HEALTHCARE

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

## Provider details

- **NPI number:** 1881265171
- **Authorized official:** JOSEPH BORTON (CFO/CO-OWNER)
- **Authorized official phone:** (715) 239-2075

## Contact information

- **Practice address:** 1446 116TH ST, CHIPPEWA FALLS, WI 54729-5569
- **Practice address phone:** (715) 239-2075
- **Practice address fax:** (715) 239-2116
- **Mailing address:** 1446 116TH ST, CHIPPEWA FALLS, WI 54729-5569
- **Mailing address phone:** (715) 239-2075
- **Mailing address fax:** (715) 239-2116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 314000000X | Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 07/07/2021
- **Last updated:** 08/07/2024