Organization
ELMWOOD NURSING & REHABILITATION CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAKHLOUF SUISSA (MEMBER)
(618) 344-7750
Entity
Organization
Contact information
Practice address
152 WILMA DR, MARYVILLE, IL 62062-5435
(618) 344-7750
(618) 344-3520
Mailing address
152 WILMA DR, MARYVILLE, IL 62062-5435
(618) 344-7750
(618) 344-3520
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0041210
IL
Other
Enumeration date
06/05/2006
Last updated
06/02/2009
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