Organization
HAVEN OF ST ELMO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEVI ISRAEL (CEO)
(847) 905-3220
Entity
Organization
Contact information
Practice address
221 E CUMBERLAND RD, SAINT ELMO, IL 62458-1662
(618) 829-5551
Mailing address
2201 MAIN ST, EVANSTON, IL 60202-1519
(847) 905-3222
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
03/07/2025
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