Monroe County

NPI #1164424487 in Waterloo, Illinois

Provider Information

NPI Number
1164424487
Entity Type
Organization
Organization Name
Monroe County
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 1, 2005
Last Updated
Jun 24, 2015

Practice Location

Address
623 HAMACHER STREET
ZIP Code
62298-1598
Phone
(618) 939-3488

Authorized Official

Name
MRS. KIM LEE KECKRITZ
Title
ADMINISTRATOR
Phone
(618) 939-3488

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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