Whalio Doctors

NPI 1194724906

Canterbury Manor Nursing Center INC

Organisation Nursing Facility/Intermediate Care Facility Waterloo, IL

Practice location

Address
718 N Market St, Waterloo, IL 62298-1014
Phone
(618) 939-8565
Fax
(618) 939-3650

Authorised official

Name
Diana S Kington
Title
President
Phone
(618) 549-8331

Registered specialties (2)

Nursing Facility/Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 313M00000X
Skilled Nursing Facility
Nursing & Custodial Care Facilities Taxonomy 314000000X

Registry record

NPI
1194724906
Entity type
Organization
NPI issued
14 Jul 2005
Record last updated
11 Sep 2025

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.