Organization
CARRIER MILLS NURSING & REHABILITATION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOT E. STOUT LNHA (EXECUTIVE DIRECTOR)
(618) 994-2323
Entity
Organization
Contact information
Practice address
6789 US HIGHWAY 45 S, CARRIER MILLS, IL 62917-1225
(618) 994-2323
(618) 994-4082
Mailing address
6789 US HIGHWAY 45 S, P O BOX 68, CARRIER MILLS, IL 62917-1225
(618) 994-2323
(618) 994-4082
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000025130
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37112696001
—
IL
Enumeration date
09/23/2005
Last updated
02/14/2017
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