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Harbor Crest Home Inc
Nursing Facility/Intermediate Care Facility in Fulton, Illinois
NPI 1083602031

Harbor Crest Home Inc is a Nursing Facility/Intermediate Care Facility based in Fulton, IL. Harbor Crest Home Inc practices in Fulton, IL. The NPI Number for Harbor Crest Home Inc is 1083602031 and holds a License No. 0009530 (Illinois).

The current practice location address for Harbor Crest Home Inc is 817 17Th St, Fulton, IL and can be reached out via phone at 815-589-3411 and via fax at 815-589-4728.

Location: 817 17Th St, Fulton, IL, 61252-1020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083602031
Provider Name
Harbor Crest Home Inc
Credential
Provider Entity Type
Organization
Address
817 17Th St, Fulton, IL, 61252-1020
Phone Number
815-589-3411
Fax Number
815-589-4728
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
817 17Th St
City
Fulton
State
Illinois
Zip
61252-1020
Phone Number
815-589-3411
Fax Number
815-589-4728
person
Provider Business Mailing Address Details
Address
817 17Th St
City
Fulton
State
Illinois
Zip
61252-1020
Phone Number
815-589-3411
Fax Number
815-589-4728
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
0009530 (Illinois)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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