BROOKSIDE MANOR LLC is a nursing facility intermediate care facility in Centralia, IL. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. BROOKSIDE MANOR LLC NPI is 1457476640. The provider is registered as an organization entity type.
The provider's business location address is:
1740 W MCCORD ST
CENTRALIA, IL
ZIP 62801-808
Phone: (618) 532-2428
Fax: (618) 532-8305
The provider's authorized official is Lisa Middleton .
The authorized official title is Administrator and has the following contact phone number (618) 532-2428.
The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.