Healthcare Provider Details

I. General information

NPI: 1316710163
Provider Name (Legal Business Name): ALTON NURSING AND REHAB CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2023
Last Update Date: 11/02/2023
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3490 HUMBERT RD
ALTON IL
62002-7101
US

IV. Provider business mailing address

6554 N TRUMBULL AVE
LINCOLNWOOD IL
60712-3835
US

V. Phone/Fax

Practice location:
  • Phone: 618-465-2626
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ALLAN GARFINKEL
Title or Position: PRESIDENT/ FOUNDER
Credential:
Phone: 786-210-1578