Organization
LIFECARE HOSPITALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIC WORMINGTON M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(262) 524-2630
Entity
Organization
Contact information
Practice address
2400 GOLF RD, PEWAUKEE, WI 53072-5590
(262) 524-2630
Mailing address
2400 GOLF RD, PEWAUKEE, WI 53072-5590
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2054-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11023900
—
WI
Enumeration date
05/20/2008
Last updated
05/20/2008
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