Organization · Type 2 NPI

Canterbury Manor Nursing Center Inc

Nursing Facility/Intermediate Care Facility · Waterloo, IL

NPI number 1194724906 Active

Practice location

718 N Market St
Waterloo, IL 62298-1014

Fax (618) 939-3650

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000XNone listed
Skilled Nursing Facility 314000000XNone listed

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

Another provider at this address

About NPI 1194724906

Canterbury Manor Nursing Center Inc's National Provider Identifier is 1194724906, issued on Jul 14, 2005. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Waterloo, IL. The record was last updated on Sep 11, 2025.