Organization
ELDERCARE, INC
Active
Other names
Eldercare of Alton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN C. WOLF (PRESIDENT)
(618) 234-2273
Entity
Organization
Contact information
Practice address
3523 WICKENHAUSER, ALTON, IL 62002-2199
(618) 465-8887
(618) 465-1811
Mailing address
2810 FRANK SCOTT PARKWAY WEST, SUITE 820, BELLEVILLE, IL 62223-5007
(618) 234-2273
(618) 234-7777
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
14D06992611
IL
314000000X
Skilled Nursing Facility
Primary
0023317
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
0023317
IL
Other
Enumeration date
12/01/2008
Last updated
08/17/2018
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