Pine Haven Christian Home INC
NPI #1881688059 in Sheboygan Falls, Wisconsin
Provider Information
- NPI Number
- 1881688059
- Entity Type
- Organization
- Organization Name
- Pine Haven Christian Home INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 2, 2005
- Last Updated
- Jun 22, 2015
Practice Location
- Address
- 220 HAVEN DRIVE
- City
- Sheboygan Falls
- State
- Wisconsin
- ZIP Code
- 53085
- Phone
- (920) 467-2401
Authorized Official
- Name
- MARTIN HALVERSON
- Title
- CFO
- Phone
- (920) 550-5257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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