Organization · Type 2 NPI

Lakewood Senior Living of Mattoon LLC

Skilled Nursing Facility · Mattoon, IL

NPI number 1679647887 Active

Practice location

2121 S 9th St
Mattoon, IL 61938-6113

Call (217) 235-7138 Map

Mailing address

3008 7th Ave S
Birmingham, AL 35233-3503

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	0047860 (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…

3 other providers at this address

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About NPI 1679647887

Lakewood Senior Living of Mattoon LLC's National Provider Identifier is 1679647887, issued on Nov 20, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Mattoon, IL. The record was last updated on Aug 22, 2020.