# THE CENTER FOR HUMAN RESTORATION, INC

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

## Provider details

- **NPI number:** 1740561521
- **Authorized official:** LAURA JEAN CONNOR (PRESIDENT)
- **Authorized official phone:** (715) 478-5202

## Contact information

- **Practice address:** 505 W GLEN ST STE 1, CRANDON, WI 54520-1356
- **Practice address phone:** (715) 478-5202
- **Practice address fax:** (715) 478-5205
- **Mailing address:** PO BOX 39, CRANDON, WI 54520-0039
- **Mailing address phone:** (715) 478-5202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 4632-012 | WI | Yes |

## Other

- **Enumeration date:** 09/07/2011
- **Last updated:** 03/30/2022