Organization
COUNTY OF KNOX
Active
Other names
Knox County Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
JODI ANN MINES LNHA (ADMINISTRATOR)
(309) 289-2338
Entity
Organization
Contact information
Practice address
800 N MARKET ST, KNOXVILLE, IL 61448-1096
(309) 289-2338
(309) 289-8255
Mailing address
800 N MARKET ST, KNOXVILLE, IL 61448-1096
(309) 289-2338
(309) 289-8255
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0010561
IL
Other
Enumeration date
10/04/2005
Last updated
02/13/2023
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