NPI | 1871695288 |
---|---|
Doing Business As | MEADOWOOD |
Entity Type | Organization |
Authorized Contact | MICHAEL ANDREW CUNNINGHAM Administrator 618-375-2171 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0019356) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IL 0019356) |
Enumeration Date | 2006-09-05 |
Last Update Date | 2020-08-22 |