Organization
GENESIS HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITY SKATES RN (ADMINISTRATOR)
(815) 625-1115
Entity
Organization
Contact information
Practice address
2605 WOODLAWN RD STE 1, STERLING, IL 61081-4174
(815) 625-1115
Mailing address
2605 WOODLAWN RD STE 1, STERLING, IL 61081-4174
(815) 625-1115
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
4000111
IL
253Z00000X
In Home Supportive Care Agency
Primary
3000126
IL
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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