ALDEN VILLAGE HEALTH FACILITY FOR CHILDREN AND YOUNG ADULTS, INC.
Nursing Care, Pediatric
Bloomingdale, Illinois
Provider NPI: 1427045244
Organization Information:Organization Name: ALDEN VILLAGE HEALTH FACILITY FOR CHILDREN AND YOUNG ADULTS, INC.
Practice Location:
267 E LAKE ST BLOOMINGDALE, IL 60108 US
Tel: 630-529-3350 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
267 E LAKE ST BLOOMINGDALE, IL 60108 US
Tel: 630-529-3350 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | IL | 0038455 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS | 1009 | IL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin