Organization
AU WELL CARE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHSAN USMAN MD (PRESIDENT)
(618) 344-7750
Entity
Organization
Contact information
Practice address
152 WILMA DR, MARYVILLE, IL 62062-5435
(618) 344-7750
(618) 344-3520
Mailing address
6 INDIAN CREEK LANE, FRONTENAC, MO 63131
(618) 344-7750
(618) 344-3520
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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