OrganizationActive
Canterbury Manor Nursing Center Inc
NPI 1194724906 · Nursing Facility/Intermediate Care Facility · Waterloo, IL
Provider details
- NPI number
- 1194724906
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Diana Kington, President(618) 549-8331
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Skilled Nursing Facility314000000X
Nursing & Custodial Care Facilities
Practice location
718 N Market St
Waterloo, IL 62298-1014
Phone: (618) 939-8565
Fax: (618) 939-3650
Approximate (ZIP-level) locationGet directions
Mailing address
718 N Market St
Waterloo, IL 62298-1014
Registry dates
- Enumerated
- 2005-07-14
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.