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Organization

ST. JOSEPH'S HOME OF SPRINGFIELD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SR. JUDITH MORRIS (ADMINISTRATOR)
(217) 529-5596
Entity
Organization

Contact information

Practice address
3306 S 6TH STREET RD, SPRINGFIELD, IL 62703-4735
(217) 529-5596
(217) 585-0104
Mailing address
3306 S 6TH STREET RD, SPRINGFIELD, IL 62703-4735
(217) 529-5596
(217) 585-0104

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0013839
IL

Other

Enumeration date
12/10/2007
Last updated
12/10/2007
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