Organization
PINCKNEYVILLE NURSING & REHABILITATION CENTER, LLC
Active
Other names
Pinckneyville Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT E STOUT LNHA (OWNER)
(618) 252-6383
Entity
Organization
Contact information
Practice address
708 VIRGINIA CT, PINCKNEYVILLE, IL 62274-1538
(618) 357-2493
(618) 357-3120
Mailing address
708 VIRGINIA CT, PINCKNEYVILLE, IL 62274-1538
(618) 357-2493
(618) 357-3120
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0052704
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052704
ILLINOIS DEPARTMENT OF PUBLIC HEALTH LICENSE NUMBER
IL
Enumeration date
02/03/2014
Last updated
02/14/2017
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