14D2120756 CLIA NUMBER - HANCOCK COUNTY SENIOR SERVICES

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Laboratory Demographics

CLIA Number: 14D2120756

Facility Name: HANCOCK COUNTY SENIOR SERVICES

Facility Address:
400 S ADAMS ST
CARTHAGE, IL
ZIP 62321
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Facility Phone Number: 217 357-8800

Facility Type: Other - SUPPORTIVE LIVING

Certificate Type: Waiver

NPI Number: 1740725340

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	14D2120756
LAB Type	Other - SUPPORTIVE LIVING
Facility Name	HANCOCK COUNTY SENIOR SERVICES
Street	400 S ADAMS ST
City	CARTHAGE
State	IL
ZIP	62321
Phone	217 357-8800
CertificateType	4
CertificateEffectiveDate	10/24/2022
CertificateExpirationDate	10/23/2024
FacilityType	Waiver

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