Golden Moments Senior Care Center Ltd

NPI 1467450866 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1467450866
Enumeration Date 07/08/2005
Last Updated 11/06/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MELVIN MELVIN
Position PRESIDENT
Phone (217) 245-4174
Fax (217) 243-5901
Practice Location
1021 N CHURCH ST
JACKSONVILLE IL, 62650-1301, US
Phone (217) 245-4174
Fax (217) 243-5901
Business Location
1021 N CHURCH ST
JACKSONVILLE IL, 62650-1301, US
Phone (217) 245-4174
Fax (217) 243-5901
Toxanomy
Taxonomy Code 314000000X
License State Illinois
License Number 0036848
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According to our database, Golden Moments Senior Care Center Ltd NPI is 1467450866, taxonomy code is 314000000X and license number is 0036848, license state is located at Illinois. Golden Moments Senior Care Center Ltd physically located at 1021 N Church St, Jacksonville IL, 62650-1301. NPI Number 1033115704 has the healthcare provider type.

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1467450866 NPI number is provided on an as is basis without warranty of any kind. 1467450866 is maintained by the National Plan & Provider Enumeration System. The contents of Golden Moments Senior Care Center Ltd are for informational purposes only.