Organization
COUNTY OF WALWORTH
Active
Parent organization
WALWORTH COUNTY
Other names
Lakeland Health Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALWORTH COUNTY
Authorized official
MRS. DENISE J JOHNSON (NHA)
(262) 741-3600
Entity
Organization
Contact information
Practice address
1922 COUNTY RD NN, ELKHORN, WI 53121-4335
(262) 741-3600
(262) 741-3682
Mailing address
1922 COUNTY ROAD NN, ELKHORN, WI 53121-4454
(262) 741-3600
(262) 741-3682
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2416
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20155000
—
WI
Enumeration date
08/22/2005
Last updated
05/15/2024
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