Menard Convalescent Center, INC
NPI #1003068776 in Petersburg, Illinois
Provider Information
- NPI Number
- 1003068776
- Entity Type
- Organization
- Organization Name
- Menard Convalescent Center, INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 14, 2008
- Last Updated
- Oct 14, 2008
Practice Location
- Address
- 120 W ANTLE ST
- City
- Petersburg
- State
- Illinois
- ZIP Code
- 62675-1035
- Phone
- (217) 632-2249
Authorized Official
- Name
- JERRY W JENNINGS
- Title
- CONTROLLER
- Phone
- (217) 787-8530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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