Organization
CHRISTINE WINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LEE (OWNER/OPERATOR)
(414) 243-1699
Entity
Organization
Contact information
Practice address
37214 DELAFIELD RD, OCONOMOWOC, WI 53066-9101
(414) 243-1699
Mailing address
37214 DELAFIELD RD, OCONOMOWOC, WI 53066-9101
(414) 243-1699
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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