Organization
CANTERBURY MANOR NURSING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA S KINGTON (PRESIDENT)
(618) 549-8331
Entity
Organization
Contact information
Practice address
718 N MARKET ST, WATERLOO, IL 62298-1014
(618) 939-8565
(618) 939-3650
Mailing address
718 N MARKET ST, WATERLOO, IL 62298-1014
(618) 939-8565
(618) 939-3650
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
07/14/2005
Last updated
09/11/2025
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