Lake View Adult Family Home
Lake View Adult Family Home provides Community Health Worker services in Pewaukee, Wisconsin. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
W278N2456 Prospect AvePewaukee, WI 53072-5220 Not confirmed with CMS for 17 years — call before visiting
Phone: (414) 379-9713
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1710119151 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Douangmala Phrasavath — Registered Nurse · (414) 379-9713 |
| NPI enumerated | August 19, 2009 |
| Last updated in NPPES | August 19, 2009 |
| Mailing address | W278n2456 Prospect Ave, Pewaukee, WI 53072-5220 |