Decatur Hco, LLC

NPI #1063459329 in Decatur, Illinois

Provider Information

NPI Number
1063459329
Entity Type
Organization
Organization Name
Decatur Hco, LLC
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Jun 2, 2006
Last Updated
Dec 10, 2020

Practice Location

Address
136 S DIPPER LN
ZIP Code
62522-1841
Phone
(217) 428-7767

Authorized Official

Name
MARK B. PETERSEN
Title
MANAGER
Phone
(309) 689-5880

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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