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Duquoin Nursing & Rehabilitation Center, LLC

Skilled Nursing Facility in Du Quoin, IL. Organization (NPI-2).

NPI number1982143772
StatusActive
Last updated in NPPESFeb 14, 2017

Details

NPI
1982143772
Entity type
Organization (NPI-2)
Legal business name
Duquoin Nursing & Rehabilitation Center, LLC
Organization subpart
No
Enumeration date
Feb 14, 2017
Last updated
Feb 14, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes

Practice location

514 E Jackson St
Du Quoin, IL 62832-2427

Phone 618-542-4731 · Fax 618-542-2651

Mailing address

514 E Jackson St
Du Quoin, IL 62832-2427

Phone 618-542-4731 · Fax 618-542-2651

Authorized official

Scott E. Stout
Manager
6187135284

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