Independence Place, Inc

Organization Nursing Facility/Intermediate Care Facility · NPI 1871717678

Independence Place, Inc is a Nursing Facility/Intermediate Care Facility in Herrin, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in: IL
In the registry since: 2007

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

1705 S Park Ave
Herrin, IL 62948-4166
Phone: (618) 942-7964
Fax: (618) 942-6191

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary)	Taxonomy 313M00000X · Licence 0037994 (IL)

Record details

NPI number	1871717678
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Jane Dodson — Vice President · (618) 327-9846
NPI enumerated	April 12, 2007
Last updated in NPPES	August 22, 2020
Mailing address	15755 Nixon Rd, Nashville, IL 62263-4815