Organization · NPI-2

Belmont Nursing Home, INC.

Intermediate Care Facility, Mental Illness · Chicago, IL

NPI number1528149382
StatusActive
Last updated in NPPESJul 14, 2009

Details

NPI
1528149382
Entity type
Organization (NPI-2)
Legal business name
Belmont Nursing Home, INC.
Organization subpart
No
Enumeration date
Oct 18, 2006
Last updated
Jul 14, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310500000X Intermediate Care Facility, Mental Illness0024968ILYes

Practice location

1936 W Belmont Ave
Chicago, IL 60657-2025

Phone 773-525-7176 · Fax 773-525-8929

Mailing address

1936 W Belmont Ave
Chicago, IL 60657-2025

Phone 773-525-7176 · Fax 773-525-8929

Authorized official

Eileen Conway
President
7735257176

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