Harbor Crest Home INC
NPI #1083602031 in Fulton, Illinois
Provider Information
- NPI Number
- 1083602031
- Entity Type
- Organization
- Organization Name
- Harbor Crest Home INC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Oct 12, 2005
- Last Updated
- Oct 23, 2012
Practice Location
Authorized Official
- Name
- MYRA A CHATTIC, LNHA
- Title
- ADMINISTRATOR
- Phone
- (815) 589-3411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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