Organization
MACOMB SENIOR LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY SUE BONNEY RN (ADMINISTRATOR)
(309) 837-2386
Entity
Organization
Contact information
Practice address
400 W GRANT ST, MACOMB, IL 61455-2867
(309) 837-2386
(309) 836-9191
Mailing address
400 W GRANT ST, MACOMB, IL 61455-2867
(309) 837-2386
(309) 836-9191
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0043679
IL
Other
Enumeration date
10/06/2005
Last updated
08/22/2020
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