| NPI | 1467941070 |
|---|---|
| Doing Business As | EDENBROOK OF BELOIT |
| Entity Type | Organization |
| Authorized Contact | ROSTISLAV PUKSHANSKY Corporate Manager 773-825-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |