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Organization

MONROE COUNTY

Active
Other names
Oak Hill
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELIZABETH MARIE SMITH (BUSINESS OFFICE MANAGER)
(618) 939-3488
Entity
Organization

Contact information

Practice address
623 HAMACHER ST, WATERLOO, IL 62298-1786
(618) 939-3488
(618) 939-5030
Mailing address
623 HAMACHER STREET, WATERLOO, IL 62298-1598
(618) 939-3488
(618) 939-5030

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0047019
IL

Other

Enumeration date
06/27/2017
Last updated
07/21/2022
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