Organization
BELLWOOD NURSING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NUDELL (ADMINISTRATOR)
(773) 318-0043
Entity
Organization
Contact information
Practice address
105 EASTERN AVE, BELLWOOD, IL 60104-1220
(708) 547-3580
Mailing address
2711 W HOWARD ST, CHICAGO, IL 60645-1303
(708) 547-3580
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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