Organization
WAVEBRIDGE ENTERPRISE INC
Active
Other names
WaveBridge Senior Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MALIK MARTIZ BARNES (VICE PRESIDENT)
(708) 466-7322
Entity
Organization
Contact information
Practice address
3494 FAIRWAY DR, CRETE, IL 60417-1000
(708) 466-7322
Mailing address
3494 FAIRWAY DR, CRETE, IL 60417-1000
(708) 466-7322
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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