Organization
MASON CITY AREA NURSING HOME ASSOCIATION, INC.
Active
Other names
Mason City Area Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M UNDERWOOD (SR. VP & CFO)
(309) 823-7135
Entity
Organization
Contact information
Practice address
520 N PRICE ST, MASON CITY, IL 62664-9600
(217) 482-5022
(217) 482-3220
Mailing address
115 W JEFFERSON ST, SUITE 401, BLOOMINGTON, IL 61701-3946
(309) 828-4361
(309) 829-5477
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0034256
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
034256
IL
Other
Enumeration date
11/02/2005
Last updated
05/27/2014
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