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General NPI Number Information
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NPI Number | 1376569335
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Entity Type | Organization
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Legal Business Name | CHRISTIAN HOMES, INC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 1507 7TH ST
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City | LINCOLN
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State | IL
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Zip | 62656-2216
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Country | US
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Telephone | 217-732-8618
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Fax | 217-732-1904
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Provider Business Mailing Address
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Address Line | 1507 7TH ST
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City | LINCOLN
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State | IL
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Zip | 62656-2216
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Country | US
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Telephone | 217-732-8618
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Fax | 217-732-1904
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MRS. SUSAN MCGHEE
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Credential |
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Telephone | 314-587-7903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0004630
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License Number State | IL
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