Organization
TWIN WILLOWS NURSING CENTER INC
Active
Other names
Twin Willows Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD CURTIS WOODRUFF (ADMINISTRATOR)
(618) 548-0542
Entity
Organization
Contact information
Practice address
1600 NORTH BROADWAY, TWIN WILLOWS NURSING CENTER, SALEM, IL 62881-0370
(618) 548-0542
(618) 548-3081
Mailing address
1600 NORTH BROADWAY, PO BOX 370 TWIN WILLOWS NURSING CENTER, SALEM, IL 62881-0370
(618) 548-0542
(618) 548-3081
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0014753
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014753
ILLINOIS PUBLIC HEALTH
IL
05
—
14E645
—
IL
Enumeration date
07/07/2006
Last updated
08/22/2020
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