NPI 1134126063

Decatur Manor Healthcare, LLC

Organisation Mental Illness Intermediate Care Facility Decatur, IL

Practice location

Address: 1016 W Pershing Rd, Decatur, IL 62526-1541
Phone: (217) 875-0833
Fax: (217) 875-6851
Mailing address: 6840 N Lincoln Ave, Lincolnwood, IL 60712-2628

Authorised official

Name: Thomas Winter
Title: Cfo
Phone: (847) 675-7979

Registered specialties (2)

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 0049262 (IL)

Other Intermediate Care Facility, Mental Illness providers in Illinois →

Mental Illness Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 310500000X

Registry record

NPI: 1134126063
Entity type: Organization
NPI issued: 7 Jul 2005
Record last updated: 9 Sep 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.