Organization
ARBA CARE CENTER OF COLFAX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG FRANK (VICE PRESIDENT)
(847) 742-8822
Entity
Organization
Contact information
Practice address
402 S HARRISON ST, COLFAX, IL 61728-7536
(309) 723-2591
Mailing address
134 N MCLEAN BLVD, ELGIN, IL 60123-5169
(847) 742-8822
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-5992
MEDICARE PTAN
IL
Enumeration date
06/30/2014
Last updated
05/20/2015
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