Organization
WALKER NURSING HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN WHITE (OWNER ADMINISTRATOR)
(217) 452-3218
Entity
Organization
Contact information
Practice address
530 EAST BEARDSTOWN STREET, VIRGINIA, IL 62691
(217) 452-3218
(217) 452-7746
Mailing address
530 EAST BEARDSTOWN STREET, VIRGINIA, IL 62691
(217) 452-3218
(217) 452-7746
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0021428
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14A341
—
IL
Enumeration date
07/08/2006
Last updated
08/22/2020
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