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14D2207828 CLIA NUMBER - WABASH CHRISTIAN SUPPORTIVE LIVING WABASH ESTATES

Laboratory Demographics

CLIA Number: 14D2207828

Facility Name: WABASH CHRISTIAN SUPPORTIVE LIVING WABASH ESTATES

Facility Address:
532 ABELSON DR
CARMI, IL
ZIP 62821
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Facility Phone Number: 618 382-2900

Facility Type: Assisted Living Facility

Certificate Type: Waiver
NPI Number: 1720005697

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name Field Value
CLIA Number 14D2207828
LAB Type Assisted Living Facility
Facility Name WABASH CHRISTIAN SUPPORTIVE LIVING WABASH ESTATES
Street 532 ABELSON DR
City CARMI
State IL
ZIP 62821
Phone 618 382-2900
CertificateType 4
CertificateEffectiveDate 12/31/2022
CertificateExpirationDate 12/30/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024