Macomb Senior Living Center

NPI #1205824018 in Macomb, Illinois

Provider Information

NPI Number
1205824018
Entity Type
Organization
Organization Name
Macomb Senior Living Center
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 6, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
400 W GRANT ST
City
Macomb
ZIP Code
61455-2867
Phone
(309) 837-2386

Authorized Official

Name
MRS. TAMMY SUE BONNEY, RN
Title
ADMINISTRATOR
Phone
(309) 837-2386

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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