Organization
COMMUNITY CARE CENTER OF MASCOUTAH, INC.
Active
Other names
Mar-Ka Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA M GIARDINA (PRESIDENT)
(636) 394-3000
Entity
Organization
Contact information
Practice address
201 S 10TH ST, MASCOUTAH, IL 62258-1736
(618) 566-8000
(618) 566-2884
Mailing address
437 SOVEREIGN CT, BALLWIN, MO 63011-4432
(636) 394-3000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0031740
IL
Other
Enumeration date
06/30/2005
Last updated
03/04/2021
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