Organization
KNOX COUNTY NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIANNE WIESEN (ADMINISTRATOR)
(309) 289-2338
Entity
Organization
Contact information
Practice address
800 N MARKET ST, KNOXVILLE, IL 61448-1096
(309) 289-2338
(309) 289-8384
Mailing address
800 N MARKET ST, KNOXVILLE, IL 61448-1096
(309) 289-2338
(309) 289-8384
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0010561
IL
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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