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Decatur Manor Healthcare, Llc
Mental Illness Intermediate Care Facility in Decatur, Illinois
NPI 1134126063

Decatur Manor Healthcare, Llc is a Mental Illness Intermediate Care Facility based in Lincolnwood, IL. Decatur Manor Healthcare, Llc practices in Decatur, IL. The NPI Number for Decatur Manor Healthcare, Llc is 1134126063 and holds a License No. (Illinois).

The current practice location address for Decatur Manor Healthcare, Llc is 1016 W Pershing Rd, Decatur, IL and can be reached out via phone at 217-875-0833 and via fax at 217-875-6851.

Location: 1016 W Pershing Rd, Decatur, IL, 60712-2628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134126063
Provider Name
Decatur Manor Healthcare, Llc
Credential
Provider Entity Type
Organization
Address
1016 W Pershing Rd, Decatur, IL, 60712-2628
Phone Number
217-875-0833
Fax Number
217-875-6851
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
612731133 05 IL
370969602 05 IL
31CX5 05 IL
institution
Provider Business Practice Location Address Details
Address
1016 W Pershing Rd
City
Decatur
State
Illinois
Zip
62526-1541
Phone Number
217-875-0833
Fax Number
217-875-6851
person
Provider Business Mailing Address Details
Address
1016 W Pershing Rd
City
Decatur
State
Illinois
Zip
62526-1541
Phone Number
217-875-0833
Fax Number
217-875-6851
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
()
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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