Organization
MATTOON HEALTHCARE & REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C TUTERA (OWNER)
(816) 444-0900
Entity
Organization
Contact information
Practice address
2121 S 9TH ST, MATTOON, IL 61938-6113
(217) 235-7138
Mailing address
2121 S 9TH ST, MATTOON, IL 61938-6113
(217) 235-7138
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0047860
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
542186933001
—
IL
Enumeration date
07/08/2008
Last updated
10/30/2012
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