| NPI | 1235176504 |
|---|---|
| Doing Business As | FONDULAC REHABILITATION & HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK B. PETERSEN General Manager 309-691-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0047472) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2022-01-19 |