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Greenwood Manor Nursing Home Inc
Nursing Facility/Intermediate Care Facility in Jerseyville, Illinois
NPI 1336138411

Greenwood Manor Nursing Home Inc is a Nursing Facility/Intermediate Care Facility based in Jerseyville, IL. Greenwood Manor Nursing Home Inc practices in Jerseyville, IL. The NPI Number for Greenwood Manor Nursing Home Inc is 1336138411 and holds a License No. 0020206 (Illinois).

The current practice location address for Greenwood Manor Nursing Home Inc is 410 Fletcher St, Jerseyville, IL and can be reached out via phone at 618-498-6427 and via fax at 618-639-3339.

Location: 410 Fletcher St, Jerseyville, IL, 62052-2127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336138411
Provider Name
Greenwood Manor Nursing Home Inc
Credential
Provider Entity Type
Organization
Address
410 Fletcher St, Jerseyville, IL, 62052-2127
Phone Number
618-498-6427
Fax Number
618-639-3339
Provider Enumeration Date
10/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
I4A111 01 IL IL DEPT OF PUBLIC HEALTH
institution
Provider Business Practice Location Address Details
Address
410 Fletcher St
City
Jerseyville
State
Illinois
Zip
62052-2127
Phone Number
618-498-6427
Fax Number
618-639-3339
person
Provider Business Mailing Address Details
Address
410 Fletcher St
City
Jerseyville
State
Illinois
Zip
62052-2127
Phone Number
618-498-6427
Fax Number
618-639-3339
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
0020206 (Illinois)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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