Lavender Ridge INC
NPI #1255767166 in Effingham, Illinois
Provider Information
- NPI Number
- 1255767166
- Entity Type
- Organization
- Organization Name
- Lavender Ridge INC
- Primary Specialty
- Alzheimer Center (Dementia Center)
- Enumeration Date
- Sep 24, 2013
- Last Updated
- Sep 24, 2013
Practice Location
Authorized Official
- Name
- MRS. KEESHA WOOD-SMITH
- Title
- REGIONAL DIRECTOR
- Phone
- (217) 342-4150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Alzheimer Center (Dementia Center) |
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