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LAKEVIEW NEUROREHAB CENTER MIDWEST, INC

Transportation Services Ambulance Land Transport

Provider NPI: 1396726873

Organization Information:
Organization Name:  LAKEVIEW NEUROREHAB CENTER MIDWEST, INC
Organization is not Subpart
Authorized Official:  JERRY V. AMATO  PRESIDENT/COO  262-534-7297

Practice Location:
1701 SHARP RD  WATERFORD, WI 53185-5214 US
Tel: 262-534-7297  Fax: 262-534-7257

Business Mailing Address:
1701 SHARP RD  WATERFORD, WI 53185-5214 US
Tel: 262-534-7297  Fax: 262-534-7257

NPI Information:
NPI: 1396726873
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3416L0300XTransportation Services
Ambulance
Land Transport
WI
N323P00000XResidential Treatment Facilities
Psychiatric Residential Treatment Facility
N282N00000XHospitals
General Acute Care Hospital
Y282E00000XHospitals
Long Term Care Hospital
N283X00000XHospitals
Rehabilitation Hospital

Other Provider Identifiers:

IssuerNumberStateType
11022100WI05
11022181WI05



American Medical Association 2012 taxonomy code information

Code: 282E00000X

Type:

Classification:



Definition:



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