Organization
N & R OF VIENNA, LLC
Active
Other names
Hillview Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE W WATKINS (CEO/ MANAGER)
(618) 658-2951
Entity
Organization
Contact information
Practice address
512 11TH ST, VIENNA, IL 62995-1522
(618) 658-2951
(618) 658-6404
Mailing address
512 11TH ST, VIENNA, IL 62995-1522
(618) 658-2951
(618) 658-6404
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0045302
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32131100
STATE ID
IL
05
—
954715603002
—
IL
Enumeration date
09/22/2005
Last updated
11/10/2009
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