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Organization

CENTRAL HOME INC

Active
Other names
Central Nursing Home
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID LUBOWSKY (BOOKKEEPER)
(847) 679-7484
Entity
Organization

Contact information

Practice address
2450 N CENTRAL AVE, CHICAGO, IL 60639-1316
(773) 889-1333
(773) 889-1516
Mailing address
2450 N CENTRAL AVE, CHICAGO, IL 60639-1316
(773) 889-1333
(773) 889-1516

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000019364
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1142
BLUECROSS BLUESHIELD
IL
Enumeration date
06/21/2005
Last updated
05/07/2008
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