Gahcr II Mahomet Alf Trs Sub, LLC

NPI #1245624311 in Mahomet, Illinois

Provider Information

NPI Number
1245624311
Entity Type
Organization
Organization Name
Gahcr II Mahomet Alf Trs Sub, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Mar 26, 2015
Last Updated
Mar 26, 2015

Practice Location

Address
1709 S DIVISION ST
ZIP Code
61853-3747
Phone
(217) 586-5100

Authorized Official

Name
DANNY PROSKY
Title
PRESIDENT
Phone
(949) 270-9200

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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