Organization
GOLDEN MOMENTS SENIOR CARE CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN SIEGEL (PRESIDENT)
(847) 679-0100
Entity
Organization
Contact information
Practice address
1021 N CHURCH ST, JACKSONVILLE, IL 62650-1301
(217) 245-4174
(217) 243-5901
Mailing address
1021 N CHURCH ST, JACKSONVILLE, IL 62650-1301
(217) 245-4174
(217) 243-5901
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0036848
IL
Other
Enumeration date
07/08/2005
Last updated
11/06/2007
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