Organization
PINE CREST HEALTH CARE LLC
Active
Other names
Pine Crest Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRANCES MEEHAN (ATTORNEY)
(312) 521-2467
Entity
Organization
Contact information
Practice address
3300 175TH ST, HAZEL CREST, IL 60429-1604
(708) 335-2400
(708) 335-1825
Mailing address
3300 175TH ST, HAZEL CREST, IL 60429-1604
(708) 335-2400
(708) 335-1825
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/23/2011
Last updated
08/08/2017
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