NPI

Harbor Crest Home Inc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2005-10-12
Last updated
2012-10-23

Specialties

Licenses

License IL
0009530

Location

Practice location
817 17th St
City
Fulton IL
Postal code
61252-1020
Phone
(815) 589-3411

Organization contact

Name
MYRA CHATTIC
Title
Administrator
Phone
8155893411

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Fulton, IL. 32 records in the public file.

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