Lakeview Neurorehab Center Midwest, Inc.
Organization Active NPI Land Ambulance · Waterford, WI
NPI 1033460936 · NPPES record last updated Aug 10, 2021
Key facts
- NPI
- 1033460936
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 6604929 (WI)
- Legal business name
- LAKEVIEW NEUROREHAB CENTER MIDWEST, INC.
- Practice address
- 1701 Sharp Rd
Waterford, WI 53185-5214 - Phone
- (262) 534-7297
- Fax
- (262) 534-7257
- NPI assigned
- Oct 2, 2012
- Organization subpart
- No
Authorized official
- Name
- Andy Olivares
- Title
- Coo & Administrator
- Phone
- (262) 534-7297
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Lakeview Neuro Rehab Ce
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 6604929 | WI | Yes |
Addresses
Primary practice location
1701 Sharp Rd
Waterford, WI 53185-5214
Mailing address
1701 Sharp Rd
Waterford, WI 53185-5214
Phone (262) 534-7297
Other names
- Lakeview Specialty Hospital & Reahb
Other providers in Waterford, WI
- Lakeview Critical Care EMS, Inc
- Lakeview Healthcare Systems Waterford
- Lakeview Neurorehab Center Midwest, Inc
- Lakeview Neurorehab Center Midwest, Inc
- Lakeview Neurorehab Center Midwest, Inc
- Jonathan Lancourt
- Ashlee Leidall
- Sarah Lesch
- Edward J Lesniak
- Charity R Lopez
All providers in Waterford, WI · Land Ambulance in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.