Organization
HOME BRIDGE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M PALAZZO (CEO)
(630) 885-8101
Entity
Organization
Contact information
Practice address
1701 5TH AVE, BELVIDERE, IL 61008-5517
(815) 547-5451
(815) 544-4059
Mailing address
1701 5TH AVE, BELVIDERE, IL 61008-5517
(815) 547-5451
(815) 544-4059
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0045674
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146071
MEDICARE PROVIDER NUMBER
IL
Enumeration date
06/25/2008
Last updated
01/02/2009
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