Good Samaritan Pontiac
Good Samaritan Pontiac is a Nursing Facility/Intermediate Care Facility in Pontiac, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
1225 S Ewing DrPontiac, IL 61764-9701
Phone: (815) 844-5121
Fax: (815) 419-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 1630299 (IL) |
|---|---|
| Nursing Facility/Intermediate Care Facility | Taxonomy 313M00000X · Licence 1630299 (IL) |
Record details
| NPI number | 1881679579 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kim Wittenberg — Administrator · (815) 844-5121 |
| NPI enumerated | December 14, 2005 |
| Last updated in NPPES | August 12, 2020 |
| Certification date | August 12, 2020 |
| Mailing address | 1225 S Ewing Dr, Pontiac, IL 61764-9701 |
Other providers in Pontiac
-
Accolade Healthcare of Pontiac LLC
300 W Lowell Ave, Pontiac, IL 61764-2614 · (815) 842-1181