Organization
ARC OF JACKSONVILLE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN SIEGEL (PRESIDENT)
(847) 679-0100
Entity
Organization
Contact information
Practice address
1320 TENDICK ST, JACKSONVILLE, IL 62650-3121
(217) 243-6405
(217) 243-2056
Mailing address
1320 TENDICK ST, JACKSONVILLE, IL 62650-3121
(217) 243-6405
(217) 243-2056
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
14E245
IL
Other
Enumeration date
07/09/2005
Last updated
08/22/2020
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