Organization
LAKEVIEW REHAB AT HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AGUILAR (CORPORATE DIRECTOR OF REIMBURSEMENT)
(512) 973-9700
Entity
Organization
Contact information
Practice address
507 S MARKET ST, SUITE T1, WESTFIELD, WI 53964-9046
(603) 296-4195
(603) 296-4203
Mailing address
507 S MARKET ST, SUITE T1, WESTFIELD, WI 53964-9046
(603) 296-4195
(603) 296-4203
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1141
WI
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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