Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareSHAMROCK SERVICES, LLC
Adult Care Home
Mount Vernon, Illinois
Provider NPI: 1306990601
Organization Information:Organization Name: SHAMROCK SERVICES, LLC
Practice Location:
4219 LINCOLNSHIRE DR MOUNT VERNON, IL 62864 US
Tel: 618-242-2169 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4219 LINCOLNSHIRE DR MOUNT VERNON, IL 62864 US
Tel: 618-242-2169 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | IL | 94S227 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CILA LICENSE | 94S227 | IL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin