Organization
CHRISTIAN ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA MARIE HAUSCH (PRESIDENT)
(414) 453-1440
Entity
Organization
Contact information
Practice address
261 W MAIN ST STE A, WAUKESHA, WI 53186-4623
(414) 453-1440
Mailing address
PO BOX 891, WAUKESHA, WI 53187-0891
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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