PENTA NASCENT CORPORATION is an intermediate care facility mentally retarded in Salem, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PENTA NASCENT CORPORATION NPI is 1467670109. The provider is registered as an organization entity type.
The provider Is Doing Business As Lynwood Estates.
The provider's business location address is:
301 RODDY RD
SALEM, IL
ZIP 62881-836
Phone: (618) 548-0353
The provider's authorized official is Georgia Miller .
The authorized official title is Ceo and has the following contact phone number (618) 548-4561.
The CLIA number assigned to this NPI record is 14D1032094 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/20/2007 and was last updated on 8/22/2020.