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Organization

FOREST VIEW HEALTH CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAWRENCE A KANE III M.ED., LCSW, LPC (EXECUTIVE DIRECTOR)
(414) 529-9044
Entity
Organization

Contact information

Practice address
11035 W FOREST HOME AVE, HALES CORNERS, WI 53130-2541
(414) 529-9044
(414) 529-9055
Mailing address
11035 W FOREST HOME AVE, HALES CORNERS, WI 53130-2541
(414) 529-9044
(414) 529-9055

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
132700000X
Dietary Manager

Other

Enumeration date
05/17/2011
Last updated
05/17/2011
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