NPI | 1083660427 |
---|---|
Doing Business As | WEDGEWOOD HEALTHCARE CENTER |
Entity Type | Organization |
Authorized Contact | ALEXANDER J. KUSMIERZ Manager 863-815-0488 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF130470996) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2012-11-21 |