Organization
HELIA HEALTHCARE OF JERSEYVILLE LLC
Active
Other names
Jerseyville Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P MILLER (PRINCIPAL/MEMBER)
(312) 994-2306
Entity
Organization
Contact information
Practice address
1001 S STATE ST, JERSEYVILLE, IL 62052-2361
(618) 498-6496
(618) 498-7435
Mailing address
500 NW PLAZA DR STE 712, SAINT ANN, MO 63074-2222
(314) 317-2003
(312) 896-5951
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1584531
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371323741002
—
IL
Enumeration date
10/10/2005
Last updated
03/18/2024
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