Organization
LAKEWOOD SENIOR LIVING OF MATTOON
Active
Other names
Mattoon Health Care & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD J BROCKMAN (CEO)
(205) 320-7575
Entity
Organization
Contact information
Practice address
2121 S 9TH ST, MATTON, IL 61938
(217) 235-7138
(217) 235-7140
Mailing address
2121 S 9TH ST, MATTON, IL 61938
(217) 235-7138
(217) 235-7140
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0041574
IL
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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