Organization
FRIENDSHIP MANOR GROUP, LLC
Active
Other names
Friendship Manor Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY LIETZ (ADMINISTRATOR)
(618) 327-3041
Entity
Organization
Contact information
Practice address
485 S FRIENDSHIP DR, NASHVILLE, IL 62263-1363
(618) 327-3041
(618) 327-4001
Mailing address
485 S FRIENDSHIP DR, NASHVILLE, IL 62263-1363
(618) 327-3041
(618) 327-4001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0050161
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508019548
LONG TERM CARE NPI #
IL
Enumeration date
01/12/2009
Last updated
01/12/2009
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