Organization
MARION REHABILITATION AND NURSING CENTER,LLC
Active
Other names
Willow of the Fountain
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN BLIKSO (C.F.O)
(708) 236-0000
Entity
Organization
Contact information
Practice address
1301 E DEYOUNG ST, MARION, IL 62959-3846
(618) 997-1365
(618) 998-9300
Mailing address
8707 SKOKIE BLVD, SUITE 310, SKOKIE, IL 60077-2269
(708) 236-0000
(708) 236-0001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0040642
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6003230
FACILITY ID
IL
Enumeration date
09/14/2006
Last updated
03/29/2011
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