| NPI | 1497889554 |
|---|---|
| Doing Business As | THE CLAYBERG FULTON COUNTY NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | MARTHA J DANIELSON Administrator 309-785-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0014290) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IL 0014290) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-11-02 |