Organization
CHRISTIAN HOME CARE AND REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALOM STEIN (AUTHORIZED OFFICIAL)
(732) 313-0880
Entity
Organization
Contact information
Practice address
452 FOX LAKE RD, WAUPUN, WI 53963-1761
(920) 324-9051
Mailing address
452 FOX LAKE RD, WAUPUN, WI 53963-1761
(920) 324-9051
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/05/2024
Last updated
05/01/2026
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