Parents and Friends of the Slc-Home 1

NPI #1184894412 in Swansea, Illinois

Provider Information

NPI Number
1184894412
Entity Type
Organization
Organization Name
Parents and Friends of the Slc-Home 1
Subpart
Yes (part of a larger organization)
Parent Organization
PARENTS AND FRIENDS OF THE SPECIALIZED LIVING CENTER
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Mar 3, 2008
Last Updated
Mar 3, 2008

Practice Location

Address
3 GUNDLACH PL
ZIP Code
62226-4227
Phone
(618) 277-7730

Authorized Official

Name
MR. CHARLES K KEIGLEY
Title
ADMINISTRATOR
Phone
(618) 277-7730

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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