Organization
PALLADIAN TAYLORVILLE SNF LLC
Active
Other names
Taylorville Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JASON MILLS (CFO)
(314) 566-0459
Entity
Organization
Contact information
Practice address
600 S HOUSTON ST, TAYLORVILLE, IL 62568-2073
(217) 824-9636
(217) 824-8437
Mailing address
1670 ESSEX WAY STE B, O FALLON, IL 62269-3063
(618) 327-3064
(618) 327-3083
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1615453
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3711606626256801
—
IL
Enumeration date
10/11/2005
Last updated
03/18/2024
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