NPI 1366431447

Grange Nursing Home

Organisation Skilled Nursing Facility Mascoutah, IL

Practice location

Address: 901 N 10th St, Mascoutah, IL 62258-1017
Phone: (618) 566-2183
Fax: (618) 566-4462

Authorised official

Name: Sheila Renee Storey
Title: Administrator
Phone: (618) 566-2183

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 0014399 (IL)

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Registry record

NPI: 1366431447
Entity type: Organization
NPI issued: 20 Oct 2005
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.