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Lakeview Health Center
Intellectual Disabilities Intermediate Care Facility in West Salem, Wisconsin
NPI 1891781464

Lakeview Health Center is a Intellectual Disabilities Intermediate Care Facility based in West Salem, WI. Lakeview Health Center practices in West Salem, WI. The NPI Number for Lakeview Health Center is 1891781464 and holds a License No. 3012 (Wisconsin).

The current practice location address for Lakeview Health Center is 902 E Garland St, West Salem, WI and can be reached out via phone at 608-786-1400 and via fax at 608-786-1419.

Location: 902 E Garland St, West Salem, WI, 54669-1308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891781464
Provider Name
Lakeview Health Center
Credential
Provider Entity Type
Organization
Address
902 E Garland St, West Salem, WI, 54669-1308
Phone Number
608-786-1400
Fax Number
608-786-1419
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21052300 05 WI
institution
Provider Business Practice Location Address Details
Address
902 E Garland St
City
West Salem
State
Wisconsin
Zip
54669-1308
Phone Number
608-786-1400
Fax Number
608-786-1419
person
Provider Business Mailing Address Details
Address
902 E Garland St
City
West Salem
State
Wisconsin
Zip
54669-1308
Phone Number
608-786-1400
Fax Number
608-786-1419
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
3012 (Wisconsin)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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