Independence Place, Inc.

NPI #1871717678 in Herrin, Illinois

Provider Information

NPI Number
1871717678
Entity Type
Organization
Organization Name
Independence Place, Inc.
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Apr 12, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1705 S PARK AVE
City
Herrin
ZIP Code
62948-4166
Phone
(618) 942-7964

Authorized Official

Name
MS. JANE M DODSON
Title
VICE PRESIDENT
Phone
(618) 327-9846

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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