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Organization

LAKE TERRACE NURSING AND REHAB LLC

Active
Other names
Edenbrook Lakeside
Organization subpart
No

Provider details

NPI number
Authorized official
MAX STESEL (OWNER)
(773) 825-3336
Entity
Organization

Contact information

Practice address
2115 E WOODSTOCK PL, MILWAUKEE, WI 53202-1342
(414) 271-1020
Mailing address
8170 MCCORMICK BLVD STE 112, SKOKIE, IL 60076-2914
(773) 825-3336
(847) 423-6991

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3150
WI

Other

Enumeration date
06/05/2018
Last updated
09/16/2020
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