| NPI | 1235228016 |
|---|---|
| Doing Business As | CRAWFORD COUNTY CONVALESCENT CENTER |
| Entity Type | Organization |
| Authorized Contact | DWIGHT L MILLER Administrator Owner 618-546-5638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0029645) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |