Lake View Adult Family Home
NPI #1710119151 in Pewaukee, Wisconsin
Provider Information
- NPI Number
- 1710119151
- Entity Type
- Organization
- Organization Name
- Lake View Adult Family Home
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Aug 19, 2009
- Last Updated
- Aug 19, 2009
Practice Location
Authorized Official
- Name
- MRS. DOUANGMALA PHRASAVATH, RN
- Title
- REGISTERED NURSE
- Phone
- (414) 379-9713
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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