Organization · Type 2 NPI
Lakeview Health Center
Intellectual Disabilities Intermediate Care Facility · West Salem, WI
NPI number
1891781464
Active
Practice location
902 E Garland St
West Salem, WI 54669-1308
Fax (608) 786-1419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 3012 (WI) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1891781464
Lakeview Health Center's National Provider Identifier is 1891781464, issued on Sep 20, 2005. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in West Salem, WI. The record was last updated on Aug 22, 2020.