Willow Of The Fountain

LBN: Marion Rehabilitation And Nursing Center,Llc
Willow Of The Fountain is an health care organization with primary practice located at 1301 E Deyoung St , Marion IL 62959-3846. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Marion Rehabilitation And Nursing Center,Llc can be contacted via phone (618) 997-1365, or through Blikso, Steven via phone (708) 236-0000.

Contact Information

Primary practice address
1301 E Deyoung St Marion IL 62959-3846
Phone: (618) 997-1365
Fax: (618) 998-9300
Website:
Map and Directions
Authorized official contact:
Name: Blikso, Steven
Phone: (708) 236-0000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0040642 Illinois

Profile Details

NPI number 1922103589
LBN Legal business name Marion Rehabilitation And Nursing Center,Llc
DBA Doing business as Willow Of The Fountain
Authorized official Blikso, Steven
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 29th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922103589 NPPES
Illinois Other 6003230 FACILITY ID

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