COVENANT CARE OF JACKSONVILLE LLC

Nursing Facility/Intermediate Care Facility

Active Organization
NPI: 1396811550

Practice Address

1500 WEST WALNUT STREET
Jacksonville, IL 62650

Phone: (217) 245-4183

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X No 0047852 (IL)
Nursing Facility/Intermediate Care Facility 313M00000X Yes 1764855 (IL)

Frequently Asked Questions

NPI 1396811550 is the National Provider Identifier for COVENANT CARE OF JACKSONVILLE LLC, a Nursing Facility/Intermediate Care Facility provider located in Jacksonville, IL. This NPI was enumerated on November 28, 2006.

Quick Facts

NPI
1396811550
Type
Organization
Enumerated
Nov 28, 2006
Last Updated
Jul 19, 2007

Nearby Providers