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BALMORAL HOME INC

Skilled Nursing Facility

Chicago, Illinois

Provider NPI: 1730183203

Organization Information:
Organization Name:  BALMORAL HOME INC


Practice Location:
2055 W BALMORAL AVE  CHICAGO, IL 60625 US
Tel: 773-561-8661  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
IL000039966

Other Provider Identifiers:

IssuerNumberStateType
BLUECROSS BLUESHIELD1012IL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




SKILLED NURSING JOBS IL - Page 1