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NPI Code Detail

MEDICARE: CASEYVILLE NURSING & REHABILITATION CENTER INC.

MEDICARE: CASEYVILLE NURSING & REHABILITATION CENTER INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BX2000XOxygen Equipment & Supplies (DME)00396444IL

General Provider Information

NPI Number : 1598930240
Entity Type Code : Organization
Provider Name (Legal Business Name) : CASEYVILLE NURSING & REHABILITATION CENTER INC.
Provider Business Mailing Address
First Line : 601 W LINCOLN AVE
Second Line :
City : CASEYVILLE
State : IL
Zip : 62232-1306
Country : US
Telephone Number : 847-982-2300
Fax Number : 847-982-2304
Provider Business Practice Location Address
First Line : 601 W LINCOLN AVE
Second Line :
City : CASEYVILLE
State : IL
Zip : 62232-1306
Country : US
Telephone Number : 847-982-2300
Fax Number : 847-982-2304
Authorized Official
Title or Position : OFFICER
Name : HILLEL BACHRACH
Credential :
Telephone Number : 847-982-2300
Provider Enumeration Date : 04/24/2008
Last Update Date : 12/23/2024

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