Organization
WYNDEMERE LLC
Active
Other names
Wyndemere
Organization subpart
No
Provider details
NPI number
Authorized official
JUDI L BUXO (SR VICE PRESIDENT)
(515) 875-4500
Entity
Organization
Contact information
Practice address
2180 MANCHESTER RD, WHEATON, IL 60187-4580
(630) 681-4200
Mailing address
2180 MANCHESTER RD, WHEATON, IL 60187-4580
(630) 681-4200
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0050674
IL
314000000X
Skilled Nursing Facility
41426
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363436685002
—
IL
Enumeration date
03/08/2006
Last updated
01/10/2014
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