Organization
FAIRVIEW REHABILITATION & HEALTHCARE LLC
Active
Other names
Farview Rehabilitation & Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT E STOUT LNHA (CEO)
(618) 294-8696
Entity
Organization
Contact information
Practice address
602 E JACKSON ST, DU QUOIN, IL 62832-2429
(618) 542-3441
Mailing address
215 E LOCUST ST, HARRISBURG, IL 62946-1504
(618) 294-8696
(618) 294-8699
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37092391001
—
IL
Enumeration date
06/06/2019
Last updated
06/06/2019
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