Organization
WHITE HALL NURSING AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORBERT A BENNETT (CO-CHIEF EXECUTIVE OFFICER)
(716) 662-4955
Entity
Organization
Contact information
Practice address
620 W BRIDGEPORT ST, WHITE HALL, IL 62092-1001
(217) 374-2144
(217) 374-6714
Mailing address
PO BOX 428, ORCHARD PARK, NY 14127-0428
(716) 662-4955
(716) 667-9230
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0046896
IL
Other
Enumeration date
11/21/2006
Last updated
12/08/2023
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