Wavebridge Enterprise INC
NPI #1952181232 in Crete, Illinois
Provider Information
- NPI Number
- 1952181232
- Entity Type
- Organization
- Organization Name
- Wavebridge Enterprise INC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Oct 3, 2023
- Last Updated
- Oct 3, 2023
Practice Location
Authorized Official
- Name
- MALIK MARTIZ BARNES
- Title
- VICE PRESIDENT
- Phone
- (708) 466-7322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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