New Athens Home for the Aged INC
NPI #1013986439 in New Athens, Illinois
Provider Information
- NPI Number
- 1013986439
- Entity Type
- Organization
- Organization Name
- New Athens Home for the Aged INC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Mar 16, 2006
- Last Updated
- Aug 6, 2013
Practice Location
- Address
- 203 S JOHNSON ST
- City
- New Athens
- State
- Illinois
- ZIP Code
- 62264-1319
- Phone
- (618) 475-2550
Authorized Official
- Name
- MR. GARY WYNN HOLTGREWE
- Title
- ADMINISTRATOR
- Phone
- (618) 475-2550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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