Organization
JAMREN NURSING CARE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHIEW NGATI (ADMINISTRATOR)
(618) 364-0012
Entity
Organization
Contact information
Practice address
507 WHIPPOORWILL LN, MARION, IL 62959-5539
(301) 605-2799
Mailing address
507 WHIPPOORWILL LN, MARION, IL 62959-5539
(301) 605-2799
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400642
—
IL
Enumeration date
09/16/2021
Last updated
10/04/2021
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