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Organization
WAVEBRIDGE ENTERPRISE INC
Active
Organization
WAVEBRIDGE ENTERPRISE INC
Active
Other names
WaveBridge Senior Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MALIK MARTIZ BARNES (VICE PRESIDENT)
(708) 466-7322
Entity
Organization
Contact information
Practice address
3494 FAIRWAY DR, CRETE, IL 60417-1000
(708) 466-7322
Mailing address
3494 FAIRWAY DR, CRETE, IL 60417-1000
(708) 466-7322
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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