| NPI | 1821186479 |
|---|---|
| Doing Business As | WAYFAIR NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J BROWN CFO 618-847-8260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0040238) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |