Organization
ILLINOIS VETERANS HOME AT ANNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT S EMLING LNHA (ADMINISTRATOR)
(618) 833-3602
Entity
Organization
Contact information
Practice address
792 N MAIN ST, ANNA, IL 62906-1627
(618) 833-6302
(618) 833-3603
Mailing address
792 N MAIN ST, BLDG M, ANNA, IL 62906-1627
(217) 222-9487
(217) 222-8578
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
0046599
IL
320700000X
Physical Disabilities Residential Treatment Facility
Primary
0046599
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09132008
BCBS
—
Enumeration date
01/03/2007
Last updated
02/08/2012
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