Lakeside Curative Services, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

LAKESIDE CURATIVE SERVICES, INC

Practice address

2503 Lincolnwood CT
Racine, WI 53403-3869

Phone

(262) 598-8304

Fax

(262) 598-0083

NPI assigned

Sep 9, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maggie Lucille White

Title

Executive Director

Phone

(262) 598-8304

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1104159144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 LINCOLNWOOD CT",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534033869",
            "telephone_number": "262-598-8304",
            "fax_number": "262-598-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 LINCOLNWOOD CT",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534033869",
            "telephone_number": "262-598-8304",
            "fax_number": "262-598-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE CURATIVE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "LUCILLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "262-598-8304",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Racine, WI
• Providers in Racine, WI by specialty
• Developmentally Disabled Services Day Training Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.