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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COVENANT CARE OF JACKSONVILLE LLC

Active Organization

COVENANT CARE OF JACKSONVILLE LLC is a Nursing Facility/Intermediate Care Facility organization located in JACKSONVILLE, Illinois. NPI 1396811550 is currently active in the NPPES registry. Verify at CMS.

Nursing Facility/Intermediate Care Facility · JACKSONVILLE, IL

Registration Details

NPI Number
1396811550
Provider Type
Organization
NPI Issued
Nov 28, 2006 (19.525939144953 yrs)
Last Updated
Jul 19, 2007
Licenses
0047852 (IL)
1764855 (IL)

Practice Information

Address
1500 WEST WALNUT STREET
JACKSONVILLE, IL, 626501134
Browse IL providers · Browse ZIP 62650
Phone
2172454183
Fax
2172432915

Other Nursing Facility/Intermediate Care Facility Organizations in JACKSONVILLE, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.