Jacksonville Convalescent Center, INC
NPI #1194977868 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1194977868
- Entity Type
- Organization
- Organization Name
- Jacksonville Convalescent Center, INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 14, 2008
- Last Updated
- Oct 14, 2008
Practice Location
- Address
- 1517 W WALNUT ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1133
- Phone
- (217) 243-6451
Authorized Official
- Name
- JERRY W JENNINGS
- Title
- CONTROLLER
- Phone
- (217) 787-8530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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