Southern Illinois Living Centers Inc.

NPI 1174518278 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1174518278
Enumeration Date 09/14/2005
Last Updated 11/09/2011
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MICHAEL A MICHAEL
Position VICE PRESIDENT ADMINISTRATOR
Phone (618) 588-4924
Fax (618) 588-4673
Practice Location
111 E ILLINOIS ST
NEW BADEN IL, 62265-1850, US
Phone (618) 588-4924
Fax (618) 588-4673
Business Location
111 E ILLINOIS ST
NEW BADEN IL, 62265-1850, US
Phone (618) 588-2066
Fax (618) 588-4673
Toxanomy
Taxonomy Code 315P00000X
License State Illinois
License Number 0033159
Remove 1174518278 NPI Number
 

According to our database, Southern Illinois Living Centers Inc. NPI is 1174518278, taxonomy code is 315P00000X and license number is 0033159, license state is located at Illinois. Southern Illinois Living Centers Inc. physically located at 111 E Illinois St, New Baden IL, 62265-1850. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1174518278 NPI number is provided on an as is basis without warranty of any kind. 1174518278 is maintained by the National Plan & Provider Enumeration System. The contents of Southern Illinois Living Centers Inc. are for informational purposes only.