Organization
FRIENDSHIP MANOR OF ST ELMO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES HUTSON (ADMINISTRATOR)
(618) 829-5581
Entity
Organization
Contact information
Practice address
221 E CUMBERLAND RD, ST ELMO, IL 62458-1662
(618) 829-5581
(618) 829-5569
Mailing address
221 E CUMBERLAND RD, ST ELMO, IL 62458-1662
(618) 829-5581
(618) 829-5569
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0045583
IL
Other
Enumeration date
01/26/2006
Last updated
12/02/2011
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