# WILSON OPERATOR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518516517
- **Authorized official:** STUART LINDEMAN (CEO AND PRESIDENT)
- **Authorized official phone:** (813) 280-1333

## Contact information

- **Practice address:** 611 31ST ST, WILSON, KS 67490-8740
- **Practice address phone:** (785) 685-2505
- **Mailing address:** 2907 W BAY TO BAY BLVD STE 303, TAMPA, FL 33629-8187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/11/2019
- **Last updated:** 10/15/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | N027003 | KANSAS STATE LICENSE NUMBER | KS |