Lad Lake, Inc.

LBN: Lad Lake, Inc.
Lad Lake, Inc. is an health care organization with primary practice located at W350S1401 Waterville Rd , Dousman WI 53118-9020. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Lad Lake, Inc. can be contacted via phone (262) 965-2131, or through Erdmann, Gary L via phone (262) 965-2131.

Contact Information

Primary practice address
W350S1401 Waterville Rd Dousman WI 53118-9020
Phone: (262) 965-2131
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Erdmann, Gary L
Phone: (262) 965-2131

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X NONE Wisconsin
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 265001 Wisconsin

Profile Details

NPI number 1114196854
LBN Legal business name Lad Lake, Inc.
DBA Doing business as
Authorized official Erdmann, Gary L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2008
Last updated Feb 27th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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