Organization
LAKESIDE CURATIVE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGGIE LUCILLE WHITE (EXECUTIVE DIRECTOR)
(262) 598-8304
Entity
Organization
Contact information
Practice address
2503 LINCOLNWOOD CT, RACINE, WI 53403-3869
(262) 598-8304
(262) 598-0083
Mailing address
2503 LINCOLNWOOD CT, RACINE, WI 53403-3869
(262) 598-8304
(262) 598-0083
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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