Organization
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY L SMITH (COO)
(815) 432-7967
Entity
Organization
Contact information
Practice address
200 E FAIRMAN AVENUE, WATSEKA, IL 60970-1644
(815) 432-5841
(815) 432-7821
Mailing address
200 E FAIRMAN AVENUE, WATSEKA, IL 60970-1644
(815) 432-5841
(815) 432-7821
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0014464
IL
Other
Enumeration date
10/11/2006
Last updated
01/31/2017
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