MEDICARE: WB CARE CENTER LLC (EFFECTIVE 6/30/08)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	SNF1028096	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437318839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WB CARE CENTER LLC (EFFECTIVE 6/30/08)

Provider Business Mailing Address
First Line	:	7751 W BROWARD BLVD
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-2003
Country	:	US
Telephone Number	:	954-473-8040
Fax Number	:

Provider Business Practice Location Address
First Line	:	7751 W BROWARD BLVD
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-2003
Country	:	US
Telephone Number	:	954-473-8040
Fax Number	:

Authorized Official
Title or Position	:	REIMBURSEMENT
Name	:	NELSON ROBAINA
Credential	:
Telephone Number	:	305-864-9191

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	05/26/2009

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