CASTLE MANOR NPI 1821317041

NPI Information

CASTLE MANOR is an assisted living facility in Lincoln, IL. The provider is 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. CASTLE MANOR NPI is 1821317041. The provider is registered as an organization entity type.

The provider's business location address is:

1550 CASTLE MANOR DR
LINCOLN, IL
ZIP 62656-000
Phone: (217) 732-2310
Fax: (217) 732-2359

The provider's authorized official is Craig L Ater .
The authorized official title is Exec Vp & Cfo and has the following contact phone number (309) 823-7135.

The CLIA number assigned to this NPI record is 14D2198306 - other - supportive living facilit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2010 and was last updated on 9/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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