Southern Illinois Living Centers Inc
Southern Illinois Living Centers Inc is a Skilled Nursing Facility in New Baden, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
111 E Illinois StNew Baden, IL 62265-1850 Not confirmed with CMS for 14 years — call before visiting
Phone: (618) 588-4924
Fax: (618) 588-4673
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 0033159 (IL) |
|---|---|
| Intellectual Disabilities Intermediate Care Facility | Taxonomy 315P00000X · Licence 0033159 (IL) |
Record details
| NPI number | 1174518278 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Brave — Vice President Administrator · (618) 588-2066 |
| Other names | Clinton Manor Living Center |
| NPI enumerated | September 14, 2005 |
| Last updated in NPPES | November 9, 2011 |
| Mailing address | 111 E Illinois St, New Baden, IL 62265-1850 |
Clinicians affiliated with this facility
- Erin Elizabeth Fancher Gagen, MD Family Medicine Physician · Trenton, IL