Organization
ASTA CARE CENTER OF COLFAX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG FRANK (VP OF FINANCE)
(847) 742-8822
Entity
Organization
Contact information
Practice address
402 S HARRISON ST, COLFAX, IL 61728-7536
(309) 723-2591
Mailing address
402 S HARRISON ST, COLFAX, IL 61728-7536
(309) 723-2591
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0051227
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145992
MEDICARE NUMBER
—
Enumeration date
12/30/2010
Last updated
12/30/2010
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