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 |