Organization
GREEN ACRES HEALTHCARE AND REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELDON WOLFE (PRESIDENT)
(847) 982-2300
Entity
Organization
Contact information
Practice address
15 W WASSON RD, AMBOY, IL 61310-1141
(815) 857-2550
(815) 857-4016
Mailing address
15 W WASSON RD, AMBOY, IL 61310-1141
(815) 857-2550
(815) 857-4016
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0052365
IL
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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