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Kendra Mickelson
Skilled Nursing Facility in Eureka, Illinois
NPI 1992158356

Kendra Mickelson is a Skilled Nursing Facility based in Eureka, IL. Kendra Mickelson practices in Eureka, IL. The NPI Number for Kendra Mickelson is 1992158356 and holds a License No. 0042424 (Illinois).

The current practice location address for Kendra Mickelson is 700 N Main St, Eureka, IL and can be reached out via phone at 309-467-9094 and via fax at 309-467-9011.

Location: 700 N Main St, Eureka, IL, 61530-1085
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992158356
Provider Name
Kendra Mickelson
Credential
Provider Entity Type
Individual
Gender
Female
Address
700 N Main St, Eureka, IL, 61530-1085
Phone Number
309-467-9094
Fax Number
309-467-9011
Provider Enumeration Date
07/20/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0042424 05 IL
314000000X 01 IL TAXONOMY NUMBER
institution
Provider Business Practice Location Address Details
Address
700 N Main St
City
Eureka
State
Illinois
Zip
61530-1085
Phone Number
309-467-9094
Fax Number
309-467-9011
person
Provider Business Mailing Address Details
Address
700 N Main St
City
Eureka
State
Illinois
Zip
61530-1085
Phone Number
309-467-9094
Fax Number
309-467-9011
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
0042424 (Illinois)
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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