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Organization

CHRIST HAVEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROLYN RACKS (OWNER)
(141) 333-9138
Entity
Organization

Contact information

Practice address
5279 N 52ND ST, 212N. 32ND ST., MILWAUKEE, WI 53218-3310
(414) 935-9178
Mailing address
5279 N 52ND ST, MILWAUKEE, WI 53218-3310

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
08/03/2011
Last updated
08/03/2011
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