Jamestown Manor Inc in Du Quoin - Skilled Nursing Facility
Jamestown Manor Inc - NPI 1629077953
Jamestown Manor Inc is a Skilled Nursing Facility in Du Quoin, Illinois. Jamestown Manor Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Jamestown Manor Inc is 1629077953. The last update date is 2020-08-22.
Jamestown Manor Inc's current location address is 602 E Jackson St, Du Quoin, Illinois. You can contact this provider via phone number 6185423441 and fax number 6185426351. The mailing address for Jamestown Manor Inc is 602 E Jackson St, Du Quoin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jamestown Manor Inc |
|---|---|
| Address | 602 E Jackson St, Du Quoin, Illinois |
| Phone Number | 6185423441 |
| Fax Number | 6185426351 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kington S Diana |
| Telephone Number | 6185498331 |
NPI Number Detail
| NPI Number | 1629077953 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 602 E Jackson St |
|---|---|
| City | Du Quoin |
| State | Illinois (IL) |
| Post Code | 628322429 |
| Phone Number | 6185423441 |
| Fax Number | 6185426351 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the unique identifier code issued to Jamestown Manor Inc by the Centers for Medicare & Medicaid Services?
The Jamestown Manor Inc has been assigned the NPI (National Provider Identifier) 1629077953. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jamestown Manor Inc's physical address?
The Jamestown Manor Inc is physically located at 602 E Jackson St, in the city of Du Quoin, IL, with the postal code 628322429.
What is Jamestown Manor Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jamestown Manor Inc is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629077953 to Jamestown Manor Inc?
The Jamestown Manor Inc received its 1629077953 assignment from the Centers for Medicare & Medicaid Services on 2005-07-19.
As of what date were the details pertaining to Jamestown Manor Inc last refreshed?
The information related to the Jamestown Manor Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.