Wood River Retirement Center, Inc

NPI 1568655801 - Assisted Living Facility - 310400000X

NPI Details
NPI 1568655801
Enumeration Date 08/21/2007
Last Updated 08/21/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHUCK CHUCK
Position AGENT
Phone (618) 259-0851
Fax
Practice Location
395 E EDWARDSVILLE RD
WOOD RIVER IL, 62095-1600, US
Phone (618) 259-0851
Fax
Business Location
11701 BORMAN DR STE 315
SAINT LOUIS MO, 63146-4194, US
Phone (314) 994-9070
Fax
Toxanomy
Taxonomy Code 310400000X
License State Illinois
License Number 9999999
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According to our database, Wood River Retirement Center, Inc NPI is 1568655801, taxonomy code is 310400000X and license number is 9999999, license state is located at Illinois. Wood River Retirement Center, Inc physically located at 395 E Edwardsville Rd, Wood River IL, 62095-1600. NPI Number 1033115704 has the healthcare provider type.

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1568655801 NPI number is provided on an as is basis without warranty of any kind. 1568655801 is maintained by the National Plan & Provider Enumeration System. The contents of Wood River Retirement Center, Inc are for informational purposes only.