Organization
ELMHURST EXTENDED CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MASSARD LNHA (ADMINSTRATOR)
(630) 834-4337
Entity
Organization
Contact information
Practice address
200 E LAKE ST, ELMHURST, IL 60126-2013
(630) 834-4337
(630) 834-0480
Mailing address
200 E LAKE ST, ELMHURST, IL 60126-2013
(630) 834-4337
(630) 834-0480
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1636066
IL
Other
Enumeration date
09/15/2005
Last updated
01/18/2008
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