Decatur Manor Healthcare, LLC

NPI #1134126063 in Decatur, Illinois

Provider Information

NPI Number
1134126063
Entity Type
Organization
Organization Name
Decatur Manor Healthcare, LLC
Primary Specialty
Intermediate Care Facility, Mental Illness
Enumeration Date
Jul 7, 2005
Last Updated
Sep 9, 2013

Practice Location

Address
1016 W PERSHING RD
ZIP Code
62526-1541
Phone
(217) 875-0833

Authorized Official

Name
MR. THOMAS WINTER, CPA
Title
CFO
Phone
(847) 675-7979

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Mental Illness

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