# WAUKON IA SKILLED NURSING FACILITY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558191072
- **Authorized official:** CHAIM RAJCHENBACH (PRINCIPAL)
- **Authorized official phone:** (847) 745-7000

## Contact information

- **Practice address:** 960 4TH ST NW, WAUKON, IA 52172-1059
- **Practice address phone:** (563) 568-3493
- **Mailing address:** 960 4TH ST NW, WAUKON, IA 52172-1059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/07/2024
- **Last updated:** 08/07/2024