Organization
CENTRAL BAPTIST HOME FOR THE AGED
Active
Other names
Central Baptist Home for the Aged
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES NEWTON (EXECUTIVE DIRECTOR)
(708) 583-8500
Entity
Organization
Contact information
Practice address
4747 N CANFIELD AVE, NORRIDGE, IL 60706-4480
(708) 583-8555
(708) 583-8455
Mailing address
4747 N CANFIELD AVE, NORRIDGE, IL 60706-4480
(708) 583-8555
(708) 583-8455
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
5100364
IL
314000000X
Skilled Nursing Facility
Primary
0007435
IL
Other
Enumeration date
06/01/2005
Last updated
10/03/2011
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