Organization
ST. CLARA'S MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG L ATER (EXEC. VP & CFO)
(309) 823-7135
Entity
Organization
Contact information
Practice address
200 5TH ST, LINCOLN, IL 62656-2619
(217) 735-1507
(217) 732-3188
Mailing address
200 5TH ST, LINCOLN, IL 62656-2619
(217) 735-1507
(217) 732-3188
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0016949
IL
Other
Enumeration date
11/01/2005
Last updated
06/23/2012
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