Organization
WAVERLY PLACE OF STOCKTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA MEYER (VP OF REVENUE CYCLE MANAGEMENT)
(773) 338-4400
Entity
Organization
Contact information
Practice address
501 E FRONT AVENUE, STOCKTON, IL 61085
(815) 947-2215
Mailing address
2711 W HOWARD ST, CHICAGO, IL 60645-1303
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/17/2015
Last updated
08/04/2021
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