Organization
CARBONDALE REHABILITATION AND NURSING CENTER, LLC
Active
Other names
OAK GROVE REHABILITATION AND SKILLED CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN BLISKO (C.F.O)
(708) 236-0000
Entity
Organization
Contact information
Practice address
120 N TOWER RD, CARBONDALE, IL 62901-1929
(618) 549-3355
(618) 549-0484
Mailing address
8707 SKOKIE BLVD, SUITE 310, SKOKIE, IL 60077-2269
(708) 236-0000
(708) 236-0001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0041418
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6009203
FACILITY ID
IL
Enumeration date
09/16/2006
Last updated
03/30/2011
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