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Organization

SUNRISE MANOR OF VIRDEN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERRY W JENNINGS (CONTROLLER)
(217) 787-8530
Entity
Organization

Contact information

Practice address
333 WRIGHTSMAN ST, VIRDEN, IL 62690-1355
(217) 965-4715
(217) 965-5530
Mailing address
2653 W LAWRENCE AVE STE B, SPRINGFIELD, IL 62704-1115
(217) 787-8530
(217) 787-9840

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0025841
IL

Other

Enumeration date
10/10/2008
Last updated
10/10/2008
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