Charleston Hco LLC
NPI #1245879162 in Charleston, Illinois
Provider Information
- NPI Number
- 1245879162
- Entity Type
- Organization
- Organization Name
- Charleston Hco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 23, 2019
- Last Updated
- Dec 31, 2019
Practice Location
- Address
- 716 18TH ST
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-2382
- Phone
- (217) 345-7054
Authorized Official
- Name
- MARIKAY SNYDER
- Title
- GENERAL COUNSEL
- Phone
- (309) 689-5880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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