Organization
NORTHWESTERN NURSING & REHABILITATION CENTER LLC
Active
Other names
Grand River Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G HEDGES (MANAGING MEMBER OF LLC)
(217) 528-2244
Entity
Organization
Contact information
Practice address
2840 W CLAY ST, SAINT CHARLES, MO 63301-2536
(636) 946-6100
(636) 940-0998
Mailing address
1625 S 6TH ST, SPRINGFIELD, IL 62703-2828
(217) 528-2244
(217) 528-3412
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
03/01/2010
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