General Baptist Nursing Home Of Illinois, Inc.

NPI 1417028168 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1417028168
Enumeration Date 11/13/2006
Last Updated 06/11/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK JOSEPH MARK
Position ADMINISTRATOR
Phone (618) 263-4337
Fax (618) 262-7080
Practice Location
1320 W. 9TH STREET
MT. CARMEL IL, 62863, US
Phone (618) 263-4337
Fax (618) 262-7080
Business Location
1320 W. 9TH ST.
MT. CARMEL IL, 62863, US
Phone (618) 263-4337
Fax (618) 262-7080
Toxanomy
Taxonomy Code 314000000X
License State Illinois
License Number 0026328
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According to our database, General Baptist Nursing Home Of Illinois, Inc. NPI is 1417028168, taxonomy code is 314000000X and license number is 0026328, license state is located at Illinois. General Baptist Nursing Home Of Illinois, Inc. physically located at 1320 W. 9th Street, Mt. Carmel IL, 62863. NPI Number 1033115704 has the healthcare provider type.

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1417028168 NPI number is provided on an as is basis without warranty of any kind. 1417028168 is maintained by the National Plan & Provider Enumeration System. The contents of General Baptist Nursing Home Of Illinois, Inc. are for informational purposes only.