Wc- Harrisburg Ops, Llc

NPI 1538557897 - Assisted Living Facility - 310400000X

NPI Details
NPI 1538557897
Enumeration Date 01/08/2015
Last Updated 06/28/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name TREVA TREVA
Position EXECUTIVE DIRECTOR
Phone (618) 253-5870
Fax (618) 253-5871
Practice Location
165 RON MORSE DR
HARRISBURG IL, 62946-5298, US
Phone (618) 253-5870
Fax (618) 253-5871
Business Location
165 RON MORSE DR
HARRISBURG IL, 62946-5298, US
Phone (618) 253-5870
Fax (618) 253-5871
Toxanomy
Taxonomy Code 310400000X
License State
License Number
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According to our database, Wc- Harrisburg Ops, Llc NPI is 1538557897, taxonomy code is 310400000X Wc- Harrisburg Ops, Llc physically located at 165 Ron Morse Dr, Harrisburg IL, 62946-5298. NPI Number 1033115704 has the healthcare provider type.

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1538557897 NPI number is provided on an as is basis without warranty of any kind. 1538557897 is maintained by the National Plan & Provider Enumeration System. The contents of Wc- Harrisburg Ops, Llc are for informational purposes only.