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Fireside-ltc, Llc
Skilled Nursing Facility in Centralia, Illinois
NPI 1346526134

Fireside-ltc, Llc is a Skilled Nursing Facility based in Alpharetta, IL. Fireside-ltc, Llc practices in Centralia, IL. The NPI Number for Fireside-ltc, Llc is 1346526134 and holds a License No. (Illinois).

The current practice location address for Fireside-ltc, Llc is 1030 Martin Luther King Dr, Centralia, IL and can be reached out via phone at 678-522-2436 and via fax at 770-663-4539.

Location: 1030 Martin Luther King Dr, Centralia, IL, 30022-8164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346526134
Provider Name
Fireside-ltc, Llc
Credential
Provider Entity Type
Organization
Address
1030 Martin Luther King Dr, Centralia, IL, 30022-8164
Phone Number
678-522-2436
Fax Number
770-663-4539
Provider Enumeration Date
10/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1030 Martin Luther King Dr
City
Centralia
State
Illinois
Zip
62801-3002
Phone Number
678-522-2436
Fax Number
770-663-4539
person
Provider Business Mailing Address Details
Address
1030 Martin Luther King Dr
City
Centralia
State
Illinois
Zip
62801-3002
Phone Number
678-522-2436
Fax Number
770-663-4539
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
()
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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