NPI 1013986439

New Athens Home for the Aged INC

Organisation Nursing Facility/Intermediate Care Facility New Athens, IL

Practice location

Address: 203 S Johnson St, New Athens, IL 62264-1319
Phone: (618) 475-2550
Fax: (618) 475-2567

Authorised official

Name: Gary Wynn Holtgrewe
Title: Administrator
Phone: (618) 475-2550

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 0033043 (IL)

Other Nursing Facility/Intermediate Care Facility providers in Illinois →

Registry record

NPI: 1013986439
Entity type: Organization
NPI issued: 16 Mar 2006
Record last updated: 6 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.