Mcleansboro Hco, Llc in Mc Leansboro - Skilled Nursing Facility

Mcleansboro Hco, Llc - NPI 1801834387

Mcleansboro Hco, Llc is a Skilled Nursing Facility in Mc Leansboro, Illinois. Mcleansboro Hco, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Mcleansboro Hco, Llc is 1801834387. The last update date is 2020-09-15.

Mcleansboro Hco, Llc's current location address is 405 W Carpenter St, Mc Leansboro, Illinois. You can contact this provider via phone number 6186433728 and fax number 6186432330. The mailing address for Mcleansboro Hco, Llc is 405 W Carpenter St, Mc Leansboro, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mcleansboro Hco, Llc
Address 405 W Carpenter St, Mc Leansboro, Illinois
Phone Number 6186433728
Fax Number 6186432330
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Petersen B. Mark
Telephone Number 3096895880

NPI Number Detail

NPI Number 1801834387
Provider Enumeration Date 2006-06-04
Last Updated Date 2020-09-15

Provider Mailing Address Detail

Address 405 W Carpenter St
City Mc Leansboro
State Illinois (IL)
Post Code 628591012
Phone Number 6186433728
Fax Number 6186432330

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 47498
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20-3224201014 IL --

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FAQs about Mcleansboro Hco, Llc

What is the Mcleansboro Hco, Llc's unique identification number?

The Mcleansboro Hco, Llc has been assigned the NPI (National Provider Identifier) Number 1801834387 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Mcleansboro Hco, Llc is physically located?

The Mcleansboro Hco, Llc is physically situated at the following address: 405 W Carpenter St, Mc Leansboro, IL, 628591012.

What is Mcleansboro Hco, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mcleansboro Hco, Llc is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.

When did the Mcleansboro Hco, Llc receive its 1801834387?

The Mcleansboro Hco, Llc was issued its 1801834387 on 2006-06-04, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Mcleansboro Hco, Llc last refreshed?

The information related to the Mcleansboro Hco, Llc, including its address, specialty, and other relevant details, was last updated on 2020-09-15.

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