Organization
HARRIS FRANK LLC
Active
Other names
Harrisburg Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
TYGH BROGDON (MANAGER)
(770) 650-8773
Entity
Organization
Contact information
Practice address
HARRISBURG CARE CENTER, 1000 WEST SLOAN ST, HARRISBURG, IL 62946
(618) 252-0351
(618) 253-4308
Mailing address
1145 HEMBREE RD, ROSWELL, GA 30076-1122
(770) 650-8773
(770) 650-9732
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0045799
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36143827200
—
IL
Enumeration date
12/18/2006
Last updated
09/29/2008
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