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Organization

CLEARSKY REHABILITATION HOSPITAL LAKESHORE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTI DUNCAN (CFO)
(505) 317-3988
Entity
Organization

Contact information

Practice address
1330 WILLOW WAY, CLEVELAND, WI 53015-1216
(920) 626-4530
Mailing address
5600 WYOMING BLVD NE STE 225, ALBUQUERQUE, NM 87109-3136
(505) 317-3802

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary

Other

Enumeration date
10/16/2024
Last updated
07/01/2025
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