Organization
HOOSIER CARE
Active
Other names
Swann Special Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA CAMPBELL (AR MANAGER)
(859) 255-0075
Entity
Organization
Contact information
Practice address
109 KENWOOD RD, CHAMPAIGN, IL 61821-2905
(217) 356-5164
(217) 356-7873
Mailing address
535 W 2ND ST STE 105, LEXINGTON, KY 40508-1284
(859) 255-0075
(859) 281-5150
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
0035483
IL
Other
Enumeration date
08/15/2006
Last updated
06/03/2008
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