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Organization

GOOD SAMARITAN HOME OF QUINCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMMA MCLEOD (CEO/ADMINISTRATOR)
(217) 223-8717
Entity
Organization

Contact information

Practice address
2130 HARRISON ST, QUINCY, IL 62301-6756
(217) 223-8717
(217) 223-6015
Mailing address
2130 HARRISON ST, QUINCY, IL 62301-6756
(217) 223-8717
(217) 223-6015

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
1719820
IL
313M00000X
Nursing Facility/Intermediate Care Facility
1719820
IL
314000000X
Skilled Nursing Facility
Primary
1719820
IL

Other

Enumeration date
09/14/2006
Last updated
05/19/2022
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