Organization
NATIONAL ASSISTANCE BUREAU, INC.
Active
Other names
Westside Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
TYGH BROGDON (MANAGER)
(770) 650-8773
Entity
Organization
Contact information
Practice address
WESTSIDE CARE CENTER, 601 NORTH COLUMBIA ST, WEST FRANKFORT, IL 62896
(618) 932-2109
(618) 937-1590
Mailing address
1145 HEMBREE RD, ROSWELL, GA 30076-1122
(770) 650-8773
(770) 650-9732
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0045732
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
582489411001
—
IL
Enumeration date
12/18/2006
Last updated
08/22/2020
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