Whalio Doctors

NPI 1962576769

Jjr Enterprises INC

Organisation Intellectual Disabilities Intermediate Care Facility Mount Vernon, IL

Practice location

Address
4241 Lincolnshire Dr, Mount Vernon, IL 62864-2157
Phone
(618) 242-0132
Fax
(618) 242-9180
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 0043810 (IL)

Registry record

NPI
1962576769
Entity type
Organization
NPI issued
20 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.