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Rosewood Care Center, INC Of Joliet

Skilled Nursing Facility in Joliet, IL. Organization (NPI-2).

NPI number1073518924
StatusActive
Last updated in NPPESApr 20, 2008

Details

NPI
1073518924
Entity type
Organization (NPI-2)
Legal business name
Rosewood Care Center, INC Of Joliet
Organization subpart
No
Enumeration date
Jun 16, 2005
Last updated
Apr 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility0036798ILYes
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition1303720001IL

Practice location

3401 Hennepin Dr
Joliet, IL 60431-1080

Phone 815-436-5900

Mailing address

11701 Borman Dr
Ste 315
Saint Louis, MO 63146-4194

Phone 314-994-9070

Authorized official

Larry Vander Maten
President
3149949070

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