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Jjr Enterprises Inc
Intellectual Disabilities Intermediate Care Facility in Fairfield, Illinois
NPI 1245303528

Jjr Enterprises Inc is a Intellectual Disabilities Intermediate Care Facility based in Mount Vernon, IL. Jjr Enterprises Inc practices in Fairfield, IL. The NPI Number for Jjr Enterprises Inc is 1245303528 and holds a License No. 00143828 (Illinois).

The current practice location address for Jjr Enterprises Inc is 813 W Center St, Fairfield, IL and can be reached out via phone at 618-842-2260 and via fax at 618-842-4228.

Location: 813 W Center St, Fairfield, IL, 62864-0015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245303528
Provider Name
Jjr Enterprises Inc
Credential
Provider Entity Type
Organization
Address
813 W Center St, Fairfield, IL, 62864-0015
Phone Number
618-842-2260
Fax Number
618-842-4228
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14G276 01 IL PROVIDER IDENTIFICATION #
0043828 01 IL LG TERM CARE ICF DD 16
6012983 01 IL FACILITY ID
institution
Provider Business Practice Location Address Details
Address
813 W Center St
City
Fairfield
State
Illinois
Zip
62837-1403
Phone Number
618-842-2260
Fax Number
618-842-4228
person
Provider Business Mailing Address Details
Address
813 W Center St
City
Fairfield
State
Illinois
Zip
62837-1403
Phone Number
618-842-2260
Fax Number
618-842-4228
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
00143828 (Illinois)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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