Organization
FRANKLIN GROVE LIVING & REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE HERMAN (MEMBER)
(847) 982-2300
Entity
Organization
Contact information
Practice address
502 N STATE ST, FRANKLIN GROVE, IL 61031-9773
(815) 456-2374
Mailing address
502 N STATE ST, FRANKLIN GROVE, IL 61031-9773
(815) 456-2374
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0051599
IL
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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