Organization
ROSE GARDEN CARE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE SHAN-MARTIN (CONTROLLER)
(847) 905-4026
Entity
Organization
Contact information
Practice address
1629 E GARDNER LN, PEORIA HEIGHTS, IL 61616-3613
(309) 685-1545
Mailing address
2201 MAIN ST, EVANSTON, IL 60202-1519
(847) 905-4026
(847) 905-4040
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0041780
IL
Other
Enumeration date
02/21/2007
Last updated
05/03/2010
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