| Organization Name: | LAKEVIEW NEUROREHAB CENTER MIDWEST, INC. |
| NPI Number: | 1033460936 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBYN RUSHING (VP MEDICAL OPERATIONS & DEVELOPMENT) |
| Mailing Address: | 1701 Sharp Rd Waterford |
| State: | WI US |
| Postal Code: | 531855214 |
| Phone Number: | 2625347297 |
| Fax Number: | 2625347257 |
| NPI Enumeration Date: | 10/02/2012 |
| NPI Last Update Date: | 10/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 6604929 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |