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NPI Code Detail

MEDICARE: GENERATIONS AT ROCK ISLAND, LLC

MEDICARE: GENERATIONS AT ROCK ISLAND, LLC
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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1861537250
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENERATIONS AT ROCK ISLAND, LLC
Provider Business Mailing Address
First Line : 2545 24TH STREET
Second Line :
City : ROCK ISLAND
State : IL
Zip : 61205-5305
Country : US
Telephone Number : 309-788-0458
Fax Number : 309-788-5234
Provider Business Practice Location Address
First Line : 2545 24TH ST
Second Line :
City : ROCK ISLAND
State : IL
Zip : 61201-5305
Country : US
Telephone Number : 309-788-0458
Fax Number : 309-788-5234
Authorized Official
Title or Position : CFO
Name : MR. THOMAS WINTER
Credential :
Telephone Number : 847-674-5200
Provider Enumeration Date : 02/21/2007
Last Update Date : 08/07/2024

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Directions to “GENERATIONS AT ROCK ISLAND, LLC ” Practice Location

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