Whalio Doctors

NPI 1245303528

Jjr Enterprises INC

Organisation Intellectual Disabilities Intermediate Care Facility Fairfield, IL

Practice location

Address
813 W Center St, Fairfield, IL 62837-1403
Phone
(618) 842-2260
Fax
(618) 842-4228
Mailing address
PO Box 705, Mount Vernon, IL 62864-0015

Authorised official

Name
Beth a Quick
Title
Vice President
Phone
(618) 244-7701

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 00143828 (IL)

Registry record

NPI
1245303528
Entity type
Organization
NPI issued
16 Nov 2006
Record last updated
22 Aug 2020

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.