Organization
KINDRED HEALTH CARE
Active
Parent organization
EUNICE SMITH SKILLED NURSING FACILITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
EUNICE SMITH SKILLED NURSING FACILITY
Authorized official
KILEY HAVERA (OCCUPATIONAL THERAPIST)
(217) 710-0482
Entity
Organization
Contact information
Practice address
1251 COLLEGE AVE, ALTON, IL 62002-6735
(618) 463-7849
Mailing address
1251 COLLEGE AVENUE, ALTON, IL 62002
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
056011139
IL
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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