Organization
MID AMERICACARE FOUNDATION
Active
Other names
POLO REHABILITATION AND HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C TUTERA (PRESIDENT, CEO)
(816) 444-0900
Entity
Organization
Contact information
Practice address
703 E BUFFALO ST, POLO, IL 61064-1701
(815) 946-2203
(815) 946-2859
Mailing address
703 E BUFFALO ST, POLO, IL 61064-1701
(815) 946-2203
(815) 946-2859
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0028852
IL
Other
Enumeration date
07/05/2005
Last updated
08/22/2020
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