Mattoon Manor, LLC

NPI #1457623753 in Mattoon, Illinois

Provider Information

NPI Number
1457623753
Entity Type
Organization
Organization Name
Mattoon Manor, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 1, 2012
Last Updated
Apr 23, 2021

Practice Location

Address
2121 SOUTH 9TH
ZIP Code
61938-6113
Phone
(217) 235-7138

Authorized Official

Name
JOSEPH C TUTERA
Title
OPERATOR, PRESIDENT
Phone
(816) 444-0900

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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