Organization
COVENANT CARE JACKSONVILLE, LLC
Active
Other names
Jacksonville Skilled Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
1517 W WALNUT ST, JACKSONVILLE, IL 62650-1133
(217) 243-6451
(217) 243-8295
Mailing address
1517 W WALNUT ST, JACKSONVILLE, IL 62650-1133
(217) 243-6451
(217) 243-8295
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
20131
IL
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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