NPI 1033460936

Lakeview Neurorehab Center Midwest, INC.

Organisation Land Ambulance Waterford, WI

Practice location

Address: 1701 Sharp Rd, Waterford, WI 53185-5214
Phone: (262) 534-7297
Fax: (262) 534-7257

Authorised official

Name: Andy Olivares
Title: Coo & Administrator
Phone: (262) 534-7297

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 6604929 (WI)

Other Ambulance providers in Wisconsin →

Registry record

NPI: 1033460936
Entity type: Organization
NPI issued: 2 Oct 2012
Record last updated: 10 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.