Organization
RICHLAND CARE AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY HEISER RN (MDS COORDINATOR)
(618) 395-7421
Entity
Organization
Contact information
Practice address
410 E MACK AVE, OLNEY, IL 62450-2319
(618) 395-7421
(618) 392-2973
Mailing address
410 E MACK AVE, OLNEY, IL 62450-2319
(618) 395-7421
(618) 392-2973
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0046797
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371370824001
—
IL
01
—
IL6006910
FACILITY ID NUMBER
IL
Enumeration date
09/16/2005
Last updated
08/22/2020
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