Organization
COLUMBIA CONVALESCENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE WENDLER (ADMINISTRATOR)
(618) 281-6800
Entity
Organization
Contact information
Practice address
253 BRADINGTON DR, COLUMBIA, IL 62236-2519
(618) 281-6800
(618) 281-6557
Mailing address
253 BRADINGTON DR, COLUMBIA, IL 62236-2519
(618) 281-6800
(618) 281-6557
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0037556
IL
Other
Enumeration date
11/09/2005
Last updated
08/22/2020
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