Organization
WP-ARC CHATHAM HOLDINGS, LLC
Active
Other names
Villas of Holly Brook - Chatham
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY JAMES VAUGHN (REIMBURSEMENT ANALYST)
(240) 595-6025
Entity
Organization
Contact information
Practice address
825 E WALNUT ST, CHATHAM, IL 62629-1737
(217) 483-4661
(217) 483-4662
Mailing address
825 E WALNUT ST, CHATHAM, IL 62629-1737
(217) 483-4661
(217) 483-4662
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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