Organization
HOPEDALE MEDICAL FOUNDATION
Active
Other names
Hopedale Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED NELLO ROSSI M.D. (CEO)
(309) 449-4338
Entity
Organization
Contact information
Practice address
107 TREMONT ST, HOPEDALE, IL 61747-7525
(309) 449-4415
(309) 449-4278
Mailing address
107 TREMONT ST, HOPEDALE, IL 61747-7525
(309) 449-4415
(309) 449-4278
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0010132
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010132
STATE OF ILLINOIS - DEPARTMENT OF PUBLIC HEALTH
IL
Enumeration date
06/24/2008
Last updated
02/22/2023
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