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Organization

ALHAMBRA CARE CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEDE A WEDER (ADMINISTRATOR)
(618) 488-3565
Entity
Organization

Contact information

Practice address
417 E MAIN ST, ALHAMBRA, IL 62001-3035
(618) 488-3565
(618) 488-2517
Mailing address
417 E. MAIN ST., ALHAMBRA, IL 62001-3035
(618) 488-3565
(618) 488-2517

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0045609
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0045609
IL
Enumeration date
02/21/2007
Last updated
02/26/2010
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