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Organization

STEPHENSON NURSING CENTER

Active
Other names
Stephenson Nursing Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER JOSEPH BOLT III (ADM)
(815) 235-6173
Entity
Organization

Contact information

Practice address
2946 S WALNUT RD, FREEPORT, IL 61032
(815) 235-6173
(815) 235-9633
Mailing address
2946 S WALNUT RD, FREEPORT, IL 61032
(815) 235-6173
(815) 235-9633

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0004259
IL

Other

Enumeration date
11/09/2005
Last updated
02/17/2022
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