Organization
WABASH SENIOR LIVING & REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT E STOUT LNHA (CEO/OWNER)
(618) 713-5284
Entity
Organization
Contact information
Practice address
216 COLLEGE BLVD, CARMI, IL 62821-1548
(618) 294-8699
(618) 294-8699
Mailing address
35 S VINE ST, HARRISBURG, IL 62946-1738
(618) 294-8696
(618) 294-8699
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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