Organization
ASCENSION LIVING - LAKESHORE AT SIENA, INC.
Active
Other names
Ascension Living Lakeshore At Siena
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN SHADBOLT (CEO)
(314) 729-3500
Entity
Organization
Contact information
Practice address
5643 ERIE ST, RACINE, WI 53402-1934
(262) 898-9100
(262) 687-2488
Mailing address
5643 ERIE ST, RACINE, WI 53402-1934
(262) 898-9100
(262) 687-2488
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3087
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20178400
—
WI
Enumeration date
07/08/2006
Last updated
06/23/2025
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