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Organization
BELMONT NURSING HOME, INC.
Active
Organization
BELMONT NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN CONWAY (PRESIDENT)
(773) 525-7176
Entity
Organization
Contact information
Practice address
1936 W BELMONT AVE, CHICAGO, IL 60657-2025
(773) 525-7176
(773) 525-8929
Mailing address
1936 W BELMONT AVE, CHICAGO, IL 60657-2025
(773) 525-7176
(773) 525-8929
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
0024968
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14E836
—
IL
Enumeration date
10/18/2006
Last updated
07/14/2009
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