NPI 1609315407

Stonebridge Nursing & Rehabilitation Center, LLC

Organisation Skilled Nursing Facility Benton, IL

Practice location

Address: 902 S McLeansboro St, Benton, IL 62812-3413
Phone: (618) 439-4501
Fax: (618) 435-3141
Mailing address: PO Box 968, Benton, IL 62812-0968

Authorised official

Name: Scott E. Stout
Title: Manager
Phone: (618) 713-5284

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1609315407
Entity type: Organization
NPI issued: 14 Feb 2017
Record last updated: 14 Feb 2017

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.