NPI 1083602031
Harbor Crest Home INC
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
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.