Organization
CHRISTIAN HOME AND REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA L. WIRKUS NHA (NURSING HOME ADMINISTRATOR)
(920) 324-9051
Entity
Organization
Contact information
Practice address
452 FOX LAKE RD, WAUPUN, WI 53963-1761
(920) 324-9051
(920) 324-4724
Mailing address
452 FOX LAKE RD, WAUPUN, WI 53963-1761
(920) 324-9051
(920) 324-4724
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
0010292
WI
314000000X
Skilled Nursing Facility
Primary
0525
WI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20155500
—
WI
Enumeration date
03/31/2006
Last updated
01/07/2022
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