Organization
PONTIAC HEALTHCARE AND REHAB,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY M. ALTER (MANAGING MEMBER)
(847) 674-4700
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
(815) 842-1181
(815) 842-3406
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
53264
IL
Other
Enumeration date
10/28/2014
Last updated
11/17/2016
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