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Organization
CHRISTIAN HOME AND REHABILITATION CENTER, INC.
Active
Organization
CHRISTIAN HOME AND REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA L. WIRKUS NHA (NURSING HOME ADMINISTRATOR)
(920) 324-9051
Entity
Organization
Contact information
Practice address
452 FOX LAKE RD, WAUPUN, WI 53963-1761
(920) 324-9051
(920) 324-4724
Mailing address
452 FOX LAKE RD, WAUPUN, WI 53963-1761
(920) 324-9051
(920) 324-4724
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
0010292
WI
314000000X
Skilled Nursing Facility
Primary
0525
WI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20155500
—
WI
Enumeration date
03/31/2006
Last updated
01/07/2022
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