Individual provider · Type 1 NPI
Cheryl Jane Costello, PTA
Skilled Nursing Facility · Moline, IL
Practice location
833 16th Ave
Moline, IL 61265-3808
Mailing address
2137 Thornwood Ln
Le Claire, IA 52753-9313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 160.004681 (IL) |
Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…
7 other providers at this address
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- Heartland of Moline Il, LLCSkilled Nursing Facility Moline, IL NPI 1689612194
- Jo Ellyn Phillips, OTR/LOccupational Therapist Moline, IL NPI 1912170952
- Lynn Deanne Vance, MA CCC SLPSpeech-Language Pathologist Moline, IL NPI 1891968707
- Scott Alan Lamb, PTAPhysical Therapy Assistant Moline, IL NPI 1124293949
About NPI 1376858753
Cheryl Jane Costello, PTA's National Provider Identifier is 1376858753, issued on Aug 10, 2010. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Moline, IL. The record was last updated on Aug 10, 2010.