SL
SOUTHERN LAKES ENDOSCOPY LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
MUKWONAGO, WI
Licensed since
2018
Rate
—
Federal identifiers
NPI registry number1851887715
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients326
RevalidationDue 2024-04-30
Authorized official
NameAMY BURNS
TitleDIRECTOR REVENUE CYCLE MANAGEMENT
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