Healthcare Provider Details

I. General information

NPI: 1417981218
Provider Name (Legal Business Name): MORRIS HEALTHCARE & REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 10/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 EDGEWATER DR
MORRIS IL
60450-2504
US

IV. Provider business mailing address

1223 EDGEWATER DR
MORRIS IL
60450-2504
US

V. Phone/Fax

Practice location:
  • Phone: 815-416-6500
  • Fax: 815-416-6190
Mailing address:
  • Phone: 815-416-6500
  • Fax: 815-416-6190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0047639
License Number StateIL

VIII. Authorized Official

Name: MS. KIMBERLY A WESTERKAMP
Title or Position: COO
Credential:
Phone: 630-649-1577