Organization · Type 2 NPI
Brookside Manor LLC
Nursing Facility/Intermediate Care Facility · Centralia, IL
Practice location
1740 W Mccord St
Centralia, IL 62801-5808
Fax (618) 532-8305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | 00045096 (IL) |
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…
Other nursing facility/intermediate care facility providers in Centralia
About NPI 1457476640
Brookside Manor LLC's National Provider Identifier is 1457476640, issued on Mar 20, 2007. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Centralia, IL. The record was last updated on Aug 22, 2020.