NPI | 1780767897 |
---|---|
Doing Business As | MT. VERNON HEALTH CARE CENTER |
Entity Type | Organization |
Authorized Contact | MARK B. PETERSEN President 309-691-8113 |
Organization Subpart ? | Yes |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0039800) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2013-05-30 |