Organization
WATERFORD PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS M OSTROM (CEO)
(312) 623-0884
Entity
Organization
Contact information
Practice address
808 CORNERSTONE XING, WATERFORD, WI 53185-4562
(312) 462-4462
Mailing address
230 W MONROE ST STE 710, CHICAGO, IL 60606-4702
(312) 462-4462
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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