Organization
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
Active
Other names
Providence Healthcare and Rehabilitation Center South Holland
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOAN C MCCARTHY (VP OPERATIONAL SYSTEMS)
(708) 342-8179
Entity
Organization
Contact information
Practice address
16300 WAUSAU AVE, SOUTH HOLLAND, IL 60473-2158
(708) 596-5500
(708) 596-5527
Mailing address
16300 WAUSAU AVE, SOUTH HOLLAND, IL 60473-2158
(708) 596-5500
(708) 596-5527
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0023242
IL
Other
Enumeration date
06/01/2005
Last updated
04/14/2009
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