Penta Nascent Corporation
Penta Nascent Corporation is an Intellectual Disabilities Intermediate Care Facility in Salem, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
301 Roddy RdSalem, IL 62881-3836
Phone: (618) 548-0353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 0036004 (IL) |
|---|
Record details
| NPI number | 1467670109 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Georgia Miller — Ceo · (618) 548-4561 |
| Other names | Lynwood Estates |
| NPI enumerated | April 20, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 1690, Centralia, IL 62801-9124 |