Organization
ELIZABETH NURSING HOME CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE LEE SMALLWOOD (ADMINISTRATOR)
(815) 858-2275
Entity
Organization
Contact information
Practice address
540 PLEASANT ST, ELIZABETH, IL 61028-9508
(815) 858-2275
(815) 858-2596
Mailing address
540 PLEASANT ST, ELIZABETH, IL 61028-9508
(815) 858-2275
(815) 858-2596
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
000008300
IL
Other
Enumeration date
07/05/2007
Last updated
01/06/2017
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