Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareJJR ENTERPRISES INC
Intermediate Care Facility, Mentally Retarded
Mount Vernon, Illinois
Provider NPI: 1962576769
Organization Information:Organization Name: JJR ENTERPRISES INC
Practice Location:
4241 LINCOLNSHIRE DR MOUNT VERNON, IL 62864 US
Tel: 618-242-0132 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:
4241 LINCOLNSHIRE DR MOUNT VERNON, IL 62864 US
Tel: 618-242-0132 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | IL | 0043810 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PROVIDER IDENTIFICATION # | 14G198 | IL | 01 |
| LG TERM CARE ICF DD 16 | 0043810 | IL | 01 |
| FACILITY ID | 6011860 | IL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
