Whalio Doctors

NPI 1669804811

Country Comfort Retirement Homes, INC

Organisation Alzheimer Center (Dementia Center) Henry, IL

Practice location

Address
615 Patricia Ln, Henry, IL 61537-1037
Phone
(309) 364-3607
Fax
(309) 364-4065
Mailing address
PO Box 186, Henry, IL 61537-0186

Authorised official

Name
Sheryl Lynn Pettett
Title
Owner, Nurse Manager
Phone
(309) 364-3607

Registered specialties (2)

Alzheimer Center (Dementia Center) Primary
Nursing & Custodial Care Facilities Taxonomy 311500000X Licence 5104325 (IL)
Assisted Living Facility
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 5104325 (IL)

Registry record

NPI
1669804811
Entity type
Organization
NPI issued
30 Jul 2013
Record last updated
30 Jul 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.