Organization
RIDGWAY REHABILITATION AND NURSING CENTER, LLC
Active
Other names
The Willow of Ridgway
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN BLISKO (C.F.O)
(708) 236-0000
Entity
Organization
Contact information
Practice address
900 W RACE ST, RIDGWAY, IL 62979-1150
(618) 272-8831
(618) 272-3041
Mailing address
8707 SKOKIE BLVD, SUITE 310, SKOKIE, IL 60077-2269
(708) 236-0000
(708) 236-0001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0040782
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6007975
FACILITY ID
IL
Enumeration date
09/14/2006
Last updated
03/30/2011
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