| NPI | 1952181232 |
|---|---|
| Doing Business As | WAVEBRIDGE SENIOR CARE HOME |
| Entity Type | Organization |
| Authorized Contact | MALIK MARTIZ BARNES Vice President 708-466-7322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-10-03 |