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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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