Organization
PRAIRIE MANOR
Active
Parent organization
YES
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
MRS. ROSEMARIE M SMITH COTA/L (CERTIFIED OCCUPATIONAL THERAPY ASSI)
(708) 474-3116
Entity
Organization
Contact information
Practice address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(708) 754-7601
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
057001429
IL
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us