Organization
GREENVILLE NURSING & REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT E STOUT (CEO)
(618) 294-8696
Entity
Organization
Contact information
Practice address
400 E HILLVIEW AVE, GREENVILLE, IL 62246-2607
(618) 664-1622
Mailing address
105 S COMMERCIAL ST STE 1, HARRISBURG, IL 62946-1939
(618) 294-8696
(618) 294-8699
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0046680
IL
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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