Organization
MOWEAQUA REHABILITATION & HEALTH CARE CENTER, LLC
Active
Other names
Moweaqua Rehabilitation & Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY BROOKS (VP HEALTHCARE ACCOUNTING)
(816) 444-0900
Entity
Organization
Contact information
Practice address
525 S MACON ST, MOWEAQUA, IL 62550-1337
(217) 768-3951
(618) 768-4971
Mailing address
525 S MACON ST, MOWEAQUA, IL 62550-1337
(217) 768-3951
(618) 768-4971
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
5105231
IL
314000000X
Skilled Nursing Facility
Primary
000045104
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000045104
—
IL
Enumeration date
03/20/2007
Last updated
04/23/2021
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