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Organization

KING-BRUWAERT HOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARL BAKER (EXECUTIVE DIRECTOR)
(630) 230-9502
Entity
Organization

Contact information

Practice address
6101 S COUNTY LINE RD, BURR RIDGE, IL 60527-8132
(630) 323-2250
(630) 655-8179
Mailing address
6101 S COUNTY LINE RD, BURR RIDGE, IL 60527-8132
(630) 323-2250
(630) 655-8179

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0002584
IL

Other

Enumeration date
03/19/2014
Last updated
03/19/2014
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