Organization
EHF LAKE COUNTRY SNF OP LLC
Active
Other names
Lake Country Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA J THIEL (DIRECTOR OF COMPLIANCE)
(414) 908-8119
Entity
Organization
Contact information
Practice address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(414) 908-8119
(414) 908-7105
Mailing address
2195 N SUMMIT VILLAGE WAY, OCONOMOWOC, WI 53066-8675
(877) 255-0096
(262) 567-5093
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/06/2009
Last updated
06/05/2015
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