B&D HOTEL CORPORATION NPI 1164450532

NPI Information

B&D HOTEL CORPORATION is an intermediate care facility mental illness in Chicago, IL. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. B&D HOTEL CORPORATION NPI is 1164450532. The provider is registered as an organization entity type.
The provider Is Doing Business As Central Plaza Residential Home.

The provider's business location address is:

321 N CENTRAL AVE
CHICAGO, IL
ZIP 60644-227
Phone: (773) 626-2300
Fax: (773) 626-7647

The provider's authorized official is Elisa Jean Shlofrock-zusman .
The authorized official title is Vp Director Of Finance and has the following contact phone number (847) 441-8200.

The CLIA number assigned to this NPI record is 14D0664070 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 7/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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