Whalio Doctors

NPI 1083602031

Harbor Crest Home INC

Organisation Nursing Facility/Intermediate Care Facility Fulton, IL

Practice location

Address
817 17th St, Fulton, IL 61252-1020
Phone
(815) 589-3411
Fax
(815) 589-4728

Authorised official

Name
Myra a Chattic
Title
Administrator
Phone
(815) 589-3411

Registered specialties

Nursing Facility/Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 0009530 (IL)

Registry record

NPI
1083602031
Entity type
Organization
NPI issued
12 Oct 2005
Record last updated
23 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.