Organization
BRETHREN HOME
Active
Other names
Pinecrest Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FEROL J. LABASH NHA (CEO)
(815) 734-4103
Entity
Organization
Contact information
Practice address
414 S WESLEY AVE, MOUNT MORRIS, IL 61054-1428
(815) 734-4103
(815) 734-7318
Mailing address
414 S WESLEY AVE, MOUNT MORRIS, IL 61054-1428
(815) 734-4103
(815) 734-7318
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1676853
IL
Other
Enumeration date
09/15/2005
Last updated
03/12/2013
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