Organization
HILLSIDE MANOR HEALTHCARE & REHAB. CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOE HERMAN (COMPTROLLER)
(847) 982-2300
Entity
Organization
Contact information
Practice address
1265 MCLARAN AVE, SAINT LOUIS, MO 63147-1655
(314) 388-4121
(314) 388-5926
Mailing address
7434 SKOKIE BLVD, SKOKIE, IL 60077-3341
(847) 982-2300
(847) 982-2304
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
032084
MO
Other
Enumeration date
02/15/2006
Last updated
08/22/2020
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