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Organization
CHRIST HAVEN ADULT FAMILY HOME
Active
Organization
CHRIST HAVEN ADULT FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN RACKS (CEO)
(414) 935-9178
Entity
Organization
Contact information
Practice address
212 N 32ND ST, MILWAUKEE, WI 53208-4256
(414) 935-9178
Mailing address
212 N 32ND ST, MILWAUKEE, WI 53208-4256
(414) 935-9178
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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