Organization
ACCOLADE HEALTHCARE OF PONTIAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE FREEDMAN (MANAGER)
(973) 557-3337
Entity
Organization
Contact information
Practice address
300 W LOWELL AVE, PONTIAC, IL 61764-2614
(815) 842-1181
(815) 842-3406
Mailing address
300 W LOWELL AVE, PONTIAC, IL 61764-2614
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
03/28/2022
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