Organization · Type 2 NPI
Wickshire Wilmette Opco LLC
Assisted Living Facility · Wilmette, IL
NPI number
1801403456
Active
Practice location
615 Ridge Rd
Wilmette, IL 60091
Mailing address
750 Old Hickory Blvd, Building One Suite 125
Brentwood, TN 37027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
| Alzheimer Center (Dementia Center) | 311500000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1801403456
Wickshire Wilmette Opco LLC's National Provider Identifier is 1801403456, issued on Sep 28, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Wilmette, IL. The record was last updated on Sep 28, 2020.