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Organization

MORRIS SNF MANAGEMENT, LLC

Active
Other names
Regency Care of Morris
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN D WOMACK (MANAGING MEMBER)
(828) 381-5360
Entity
Organization

Contact information

Practice address
1095 TWILIGHT DRIVE, MORRIS, IL 60450-3322
(815) 942-5108
(815) 942-6877
Mailing address
PO BOX 1667, HICKORY, NC 28603-1667
(828) 324-8898
(828) 322-9598

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0050468
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0050468
IL STATE LICENSE NUMBER
IL
01
6011381
IDPH FACILITY NUMBER
IL
Enumeration date
07/16/2006
Last updated
08/10/2016
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