Organization
SUNSET HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONNI BULLINGTON RN, LNHA (ADMINISTRATOR)
(217) 223-2636
Entity
Organization
Contact information
Practice address
418 WASHINGTON ST, QUINCY, IL 62301-4862
(217) 223-2636
(217) 223-9867
Mailing address
418 WASHINGTON ST, QUINCY, IL 62301-4862
(217) 223-2636
(217) 223-9867
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0011643
IL
314000000X
Skilled Nursing Facility
Primary
0011643
IL
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011643
—
IL
Enumeration date
07/26/2005
Last updated
11/12/2024
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