Organization
HOOSIER CARE, INC
Active
Other names
Swann Special Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA CAMPBELL (AR MANAGER)
(859) 255-0075
Entity
Organization
Contact information
Practice address
109 KENWOOD RD, CHAMPAIGN, IL 61821-2905
(217) 356-5164
(217) 356-7873
Mailing address
109 KENWOOD RD, CHAMPAIGN, IL 61821-2905
(217) 356-5164
(217) 356-7873
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311262572001
—
IL
Enumeration date
03/13/2007
Last updated
07/29/2016
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