Organization
CONGREGATIONAL HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES T NELSON (PRESIDENT COO)
(262) 781-0550
Entity
Organization
Contact information
Practice address
3150 LILLY ROAD, BROOKFIELD, WI 53005-7623
(262) 781-0550
(262) 781-0559
Mailing address
3150 LILLY ROAD, BROOKFIELD, WI 53005-7623
(262) 781-0550
(262) 781-0559
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2471
WI
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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