Organization
REHAB & CARE CENTER OF JACKSON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERLE K TAYLOR (ADMINISTRATOR)
(618) 684-2136
Entity
Organization
Contact information
Practice address
1441 N 14TH ST, MURPHYSBORO, IL 62966-2982
(618) 684-2136
(618) 684-5710
Mailing address
1441 N 14TH ST, MURPHYSBORO, IL 62966-2982
(618) 684-2136
(618) 684-5710
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
145395
IL
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000010330
—
IL
01
—
1390
OPERATION LICENSE
IL
Enumeration date
09/27/2005
Last updated
01/20/2012
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