Prairie Village Healthcare Center INC
NPI #1356486732 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1356486732
- Entity Type
- Organization
- Organization Name
- Prairie Village Healthcare Center INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 21, 2007
- Last Updated
- Feb 9, 2010
Practice Location
- Address
- 1024 W WALNUT ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1251
- Phone
- (217) 245-5175
Authorized Official
- Name
- JENNIE SHANMARTIN, CONTROLLER
- Title
- MEDICARE BILLING
- Phone
- (847) 905-4026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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