Organization
CENTRAL NURSING AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLLY FORD (CONTROLLER)
(773) 889-1333
Entity
Organization
Contact information
Practice address
2450 N CENTRAL AVE, CHICAGO, IL 60639-1316
(773) 889-1333
(773) 622-6196
Mailing address
2450 N CENTRAL AVE, CHICAGO, IL 60639-1316
(773) 889-1333
(773) 622-6196
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
50526
IL
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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