Organization
ASTA CARE CENTER OF ELGIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG FRANK (VP OF FINANCE)
(847) 742-8822
Entity
Organization
Contact information
Practice address
134 N MCLEAN BLVD, ELGIN, IL 60123-5169
(847) 742-8822
Mailing address
134 N MCLEAN BLVD, ELGIN, IL 60123-5169
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0041608
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041608
LONG TERM CARE LICENSE
IL
Enumeration date
08/02/2005
Last updated
05/03/2013
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