Organization
POPE COUNTY CARE HOME INC
Active
Other names
POPE COUNTY CARE CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER W BAGLEY (CONTROLLER)
(618) 549-8331
Entity
Organization
Contact information
Practice address
216 E ROSALIE, GOLCONDA, IL 62938
(618) 683-7711
(618) 683-7721
Mailing address
PO BOX 488, GOLCONDA, IL 62938-0488
(618) 683-7711
(618) 683-7721
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/19/2005
Last updated
05/11/2012
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