Organization
BENEVOLENT CORPORATION CEDAR COMMUNITY
Active
Parent organization
BENEVOLENT CORPORATION CEDAR COMMUNITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENEVOLENT CORPORATION CEDAR COMMUNITY
Authorized official
MR. CHRISTOPHER CHERNEY (CFO)
(262) 306-4212
Entity
Organization
Contact information
Practice address
113 CEDAR RIDGE DR, WEST BEND, WI 53095-3654
(262) 338-8377
(262) 338-9555
Mailing address
5595 COUNTY ROAD Z, WEST BEND, WI 53095-9224
(262) 306-2100
(262) 306-2126
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
12/24/2007
Last updated
12/14/2017
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