Elisabeth Ludeman Center in Park Forest - Intermediate Care Facility, Intellectual Disabilities
Elisabeth Ludeman Center - NPI 1770704785
Elisabeth Ludeman Center is a Intermediate Care Facility, Intellectual Disabilities in Park Forest, Illinois. Elisabeth Ludeman Center practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Elisabeth Ludeman Center is 1770704785. The last update date is 2020-08-22.
Elisabeth Ludeman Center's current location address is 114 N Orchard Dr, Park Forest, Illinois. You can contact this provider via phone number 7082833000 and fax number 7082833020. The mailing address for Elisabeth Ludeman Center is 114 N Orchard Dr, Park Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elisabeth Ludeman Center |
|---|---|
| Address | 114 N Orchard Dr, Park Forest, Illinois |
| Phone Number | 7082833000 |
| Fax Number | 7082833020 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Patwari Rajani |
| Credentials | M.D. |
| Telephone Number | 7082833011 |
NPI Number Detail
| NPI Number | 1770704785 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 114 N Orchard Dr |
|---|---|
| City | Park Forest |
| State | Illinois (IL) |
| Post Code | 604661200 |
| Phone Number | 7082833000 |
| Fax Number | 7082833020 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 950228001 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Elisabeth Ludeman Center by the Centers for Medicare & Medicaid Services (CMS)?
The Elisabeth Ludeman Center has been assigned the NPI (National Provider Identifier) 1770704785. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Elisabeth Ludeman Center?
The Elisabeth Ludeman Center is physically situated at 114 N Orchard Dr, in the city of Park Forest, state of IL, with the postal code 604661200.
What is the Elisabeth Ludeman Center's specialty and taxonomy code?
The Elisabeth Ludeman Center's specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.
When was the Elisabeth Ludeman Center's 1770704785 issued?
The Elisabeth Ludeman Center's 1770704785 was issued on 2007-05-01.
As of what date were the Elisabeth Ludeman Center's details last updated?
The information pertaining to the Elisabeth Ludeman Center, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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