Organization
ALDEN-ALMA NELSON MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FLOYD A SCHLOSSBERG (PRESIDENT)
(773) 286-6622
Entity
Organization
Contact information
Practice address
550 S MULFORD RD, ROCKFORD, IL 61108-2511
(815) 484-1002
(815) 484-1024
Mailing address
4200 W PETERSON AVE, SUITE 140, CHICAGO, IL 60646-6074
(773) 286-6622
(773) 286-2150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0044891
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5421
BLUE CROSS
IL
Enumeration date
09/22/2005
Last updated
08/22/2020
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