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14D1033625 CLIA NUMBER - MANOR COURT OF PRINCETON

Laboratory Demographics

CLIA Number: 14D1033625

Facility Name: MANOR COURT OF PRINCETON

Facility Address:
140 N SIXTH ST
PRINCETON, IL
ZIP 61356
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Facility Phone Number: 815 875-6600

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1083692420

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name Field Value
CLIA Number 14D1033625
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MANOR COURT OF PRINCETON
Street 140 N SIXTH ST
City PRINCETON
State IL
ZIP 61356
Phone 815 875-6600
CertificateType 4
CertificateEffectiveDate 11/12/2022
CertificateExpirationDate 11/11/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024