Wc- Mattoon North Ops, LLC
NPI #1265820526 in Mattoon, Illinois
Provider Information
- NPI Number
- 1265820526
- Entity Type
- Organization
- Organization Name
- Wc- Mattoon North Ops, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 8, 2015
- Last Updated
- Jan 8, 2015
Practice Location
Authorized Official
- Name
- MR. ROBERT RUSSELL
- Title
- EXECUTIVE DIRECTOR
- Phone
- (217) 235-5881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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