Haven of St Elmo, LLC
NPI #1083433155 in Saint Elmo, Illinois
Provider Information
- NPI Number
- 1083433155
- Entity Type
- Organization
- Organization Name
- Haven of St Elmo, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 7, 2024
- Last Updated
- Mar 7, 2025
Practice Location
- Address
- 221 E CUMBERLAND RD
- City
- Saint Elmo
- State
- Illinois
- ZIP Code
- 62458-1662
- Phone
- (618) 829-5551
Authorized Official
- Name
- MR. LEVI ISRAEL
- Title
- CEO
- Phone
- (847) 905-3220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Skilled Nursing Facility |
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