Organization
LAKEVIEW NEUROREHAB CENTER MIDWEST, INC
Active
Parent organization
LAKEVIEW NEUROREHAB CENTER MIDWEST, INC
Other names
Lakeview Specialty Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKEVIEW NEUROREHAB CENTER MIDWEST, INC
Authorized official
CHRISTOPHER SCOTT SLOVER (CEO)
(512) 973-9700
Entity
Organization
Contact information
Practice address
1701 SHARP RD, WATERFORD, WI 53185-5214
(262) 534-7297
(262) 534-8540
Mailing address
1701 SHARP RD, WATERFORD, WI 53185-5214
(262) 534-7297
(262) 534-8540
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8222-042
WI
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11022100
—
WI
Enumeration date
03/29/2007
Last updated
06/21/2023
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