Organization · Type 2 NPI

LTC Illinois - Friendship, Inc.

Skilled Nursing Facility · Centralia, IL

NPI number 1962435941 Active

Practice location

1000 Martin Luther King
Centralia, IL 62801

Call (618) 532-3642 Map

Fax (618) 533-3739

Mailing address

925 N Point Pkwy, Suite 440
Alpharetta, GA 30005-5210

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X0045682 (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…

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About NPI 1962435941

LTC Illinois - Friendship, Inc.'s National Provider Identifier is 1962435941, issued on Jul 10, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Centralia, IL. The record was last updated on Aug 4, 2008.