Organization
GOOD SAMARITAN NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA D. COOK (ADMINISTRATOR)
(309) 289-2614
Entity
Organization
Contact information
Practice address
407 N HEBARD ST, KNOXVILLE, IL 61448-1174
(309) 289-2614
(309) 289-8847
Mailing address
407 N. HEBARD STREET, KNOXVILLE, IL 61401
(309) 289-2614
(309) 289-8847
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0001107
IL
Other
Enumeration date
03/22/2006
Last updated
08/22/2020
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