Organization
FAIR OAKS REHABILITATION AND HEALTH CARE CENTER, LLC
Active
Other names
FAIR OAKS REHABILITATION & HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C TUTERA (PRESIDENT, CEO)
(816) 444-0900
Entity
Organization
Contact information
Practice address
1515 BLACKHAWK BLVD, SOUTH BELOIT, IL 61080-2227
(815) 389-3911
(815) 389-0565
Mailing address
1515 BLACKHAWK BLVD, SOUTH BELOIT, IL 61080-2227
(815) 389-3911
(815) 389-0565
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0043422
IL
Other
Enumeration date
07/21/2005
Last updated
04/23/2021
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