Organization
HOOSIER CARE
Active
Other names
Walter Lawson Children's Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA CAMPBELL (AR MANAGER)
(859) 255-0075
Entity
Organization
Contact information
Practice address
1820 WALTER LAWSON DR, LOVES PARK, IL 61111-2757
(815) 633-6636
(815) 633-6387
Mailing address
535 W 2ND ST STE 105, LEXINGTON, KY 40508-1284
(859) 255-0075
(859) 281-5150
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
0035469
IL
Other
Enumeration date
08/16/2006
Last updated
07/29/2016
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