Organization
MEADOW MANOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY JENNINGS (CONTROLLER)
(217) 787-8530
Entity
Organization
Contact information
Practice address
800 MCADAM DR, TAYLORVILLE, IL 62568-9634
(217) 824-2277
(217) 287-7763
Mailing address
2653 W LAWRENCE AVE, SUITE B, SPRINGFIELD, IL 62704-1115
(217) 787-8530
(217) 787-9840
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0011528
IL
Other
Enumeration date
05/27/2006
Last updated
08/22/2020
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