# CHRISTIAN HOME CARE AND REHAB CENTER LLC

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

## Provider details

- **NPI number:** 1740010834
- **Authorized official:** SHALOM STEIN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (732) 313-0880

## Contact information

- **Practice address:** 452 FOX LAKE RD, WAUPUN, WI 53963-1761
- **Practice address phone:** (920) 324-9051
- **Mailing address:** 452 FOX LAKE RD, WAUPUN, WI 53963-1761
- **Mailing address phone:** (920) 324-9051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 08/05/2024
- **Last updated:** 05/01/2026