| NPI | 1194956284 |
|---|---|
| Doing Business As | LAKE COUNTRY HEALTH AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | DONNA J THIEL Director Of Compliance 414-908-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2015-06-05 |