Organization
GODFREY HEALTHCARE & REHABILITATION CENTER LLC
Active
Other names
Integrity Healthcare of Godfrey
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN BLISKO (AUTHORIZED REP)
(708) 426-2315
Entity
Organization
Contact information
Practice address
1623 W DELMAR AVE, GODFREY, IL 62035-1317
(618) 466-0443
(618) 466-1597
Mailing address
4213 MAIN ST, SKOKIE, IL 60076-2046
(708) 426-2315
(708) 236-0001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1794964
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205779699
—
IL
Enumeration date
05/24/2007
Last updated
02/28/2022
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