Wood River Nh LLC
NPI #1114461175 in Wood River, Illinois
Provider Information
- NPI Number
- 1114461175
- Entity Type
- Organization
- Organization Name
- Wood River Nh LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 10, 2016
- Last Updated
- Jun 25, 2021
Practice Location
- Address
- 395 E EDWARDSVILLE RD
- City
- Wood River
- State
- Illinois
- ZIP Code
- 62095-1600
- Phone
- (618) 259-0851
Authorized Official
- Name
- JAMES MASON
- Title
- PRESIDENT
- Phone
- (813) 347-7425
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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