Congregational Home INC
NPI #1942488044 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1942488044
- Entity Type
- Organization
- Organization Name
- Congregational Home INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 31, 2008
- Last Updated
- Jan 31, 2008
Practice Location
- Address
- 3150 LILLY ROAD
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-7623
- Phone
- (262) 781-0550
Authorized Official
- Name
- MR. CHARLES T NELSON
- Title
- PRESIDENT COO
- Phone
- (262) 781-0550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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