Organization
ELM CITY REHABILITATION CENTER, INC.
Active
Other names
Elm City Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS FREDERICK (PRESIDENT/CEO)
(217) 245-9504
Entity
Organization
Contact information
Practice address
310 N MAIN ST, JACKSONVILLE, IL 62650-2021
(217) 245-9504
(217) 243-2350
Mailing address
1314 W WALNUT ST, JACKSONVILLE, IL 62650-1148
(217) 245-9504
(217) 243-2350
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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