# WATERS OF SCOTTSBURG II

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275767667
- **Authorized official:** ALAN SORSCHER (CFO)
- **Authorized official phone:** (708) 449-1900

## Contact information

- **Practice address:** 1350 N. TODD DR., SCOTTSBURG, IN 47170-7755
- **Practice address phone:** (812) 752-5663
- **Practice address fax:** (812) 752-9853
- **Mailing address:** 240 FENCL LANE, HILLSIDE, IL 60162-2067
- **Mailing address phone:** (708) 449-1900
- **Mailing address fax:** (708) 449-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2009
- **Last updated:** 01/31/2013