Organization
WILMINGTON NURSING & REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEO FEIGENBAUM (CEO)
(847) 677-9823
Entity
Organization
Contact information
Practice address
75 HALE ST, WILMINGTON, OH 45177-2104
(937) 382-1621
(937) 383-1215
Mailing address
6600 N SAINT LOUIS AVE, LINCOLNWOOD, IL 60712-3726
(847) 677-9823
(847) 677-9837
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1407-NH
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2408871
—
OH
Enumeration date
10/27/2005
Last updated
08/22/2020
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