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Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN TUDOR (ADMINISTRATOR)
(618) 488-2355
Entity
Organization

Contact information

Practice address
201 BELLE, ALHAMBRA, IL 62001
(618) 488-2355
(618) 488-2361
Mailing address
PO BOX 79, ALHAMBRA, IL 62001-0079
(618) 488-2355
(618) 488-2361

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0032979
IL

Other

Enumeration date
07/17/2006
Last updated
11/02/2011
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