NPI 1538557897

Wc- Harrisburg Ops, LLC

Organisation Assisted Living Facility Harrisburg, IL

Practice location

Address: 165 Ron Morse Dr, Harrisburg, IL 62946-5298
Phone: (618) 253-5870
Fax: (618) 253-5871

Authorised official

Name: Treva Aud
Title: Executive Director
Phone: (618) 253-5870

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1538557897
Entity type: Organization
NPI issued: 8 Jan 2015
Record last updated: 28 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.