Greenwood Manor Nursing Home INC
NPI #1336138411 in Jerseyville, Illinois
Provider Information
- NPI Number
- 1336138411
- Entity Type
- Organization
- Organization Name
- Greenwood Manor Nursing Home INC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Oct 20, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 410 FLETCHER ST
- City
- Jerseyville
- State
- Illinois
- ZIP Code
- 62052-2127
- Phone
- (618) 498-6427
Authorized Official
- Name
- MR. LAWRENCE B PLUMMER, DO
- Title
- OWNER
- Phone
- (618) 498-6427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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