Wc- Vandalia Ops, Llc

NPI 1053709303 - Assisted Living Facility - 310400000X

NPI Details
NPI 1053709303
Enumeration Date 01/08/2015
Last Updated 01/08/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name SHELLY SHELLY
Position EXECUTIVE DIRECTOR
Phone (618) 283-9825
Fax (618) 283-9926
Practice Location
1607 W FILLMORE ST
VANDALIA IL, 62471-3112, US
Phone (618) 283-9825
Fax (618) 283-9926
Business Location
1607 W FILLMORE ST
VANDALIA IL, 62471-3112, US
Phone (618) 283-9825
Fax (618) 283-9926
Toxanomy
Taxonomy Code 310400000X
License State
License Number
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According to our database, Wc- Vandalia Ops, Llc NPI is 1053709303, taxonomy code is 310400000X Wc- Vandalia Ops, Llc physically located at 1607 W Fillmore St, Vandalia IL, 62471-3112. NPI Number 1033115704 has the healthcare provider type.

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1053709303 NPI number is provided on an as is basis without warranty of any kind. 1053709303 is maintained by the National Plan & Provider Enumeration System. The contents of Wc- Vandalia Ops, Llc are for informational purposes only.