Organization
PINE ACRES REHAB & LIVING CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WELDLER CPA (CFO)
(630) 355-3300
Entity
Organization
Contact information
Practice address
1212 S 2ND ST, DEKALB, IL 60115-4435
(815) 758-8151
(815) 758-8111
Mailing address
1212 S 2ND ST, DEKALB, IL 60115-4435
(815) 758-8151
(815) 758-8111
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0047720
IL
Other
Enumeration date
07/19/2006
Last updated
04/20/2008
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