Organization
HENDERSON COUNTY RETIREMENT CENTER, INC.
Active
Other names
OAKLANE NURSING & REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD W. CLIFTON (ADMINISTRATOR)
(319) 924-1123
Entity
Organization
Contact information
Practice address
604 OAKWOOD DR, STRONGHURST, IL 61480-0030
(309) 924-1123
(309) 924-1926
Mailing address
604 OAKWOOD DR, PO BOX 30, STRONGHURST, IL 61480-0030
(309) 924-1123
(309) 924-1926
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000035246
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14A442
PROVIDER NUMBER
IL
Enumeration date
01/02/2007
Last updated
04/17/2014
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