Organization
NORTHWOODS CARE CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CHARLES BRAUN (CONTROLLER)
(847) 583-0100
Entity
Organization
Contact information
Practice address
2250 PEARL ST, BELVIDERE, IL 61008-6022
(815) 544-0358
(815) 544-5006
Mailing address
2250 PEARL ST, BELVIDERE, IL 61008-6022
(815) 544-0358
(815) 544-5006
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
44198
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44198
IDPH LICENSE NUMBER
IL
01
—
6006670
IDPH FACILITY NUMBER
IL
Enumeration date
12/20/2005
Last updated
11/09/2011
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