Organization
CARMI MANOR REHABILITATION AND NURSING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORUCH SHEPS (MANAGER)
(315) 497-0440
Entity
Organization
Contact information
Practice address
615 W WEBB ST, CARMI, IL 62821-1668
(618) 382-7270
Mailing address
26 FIREMENS MEMORIAL DR, POMONA, NY 10970-3553
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-6124
MEDICARE ID
—
Enumeration date
11/28/2015
Last updated
11/28/2015
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