Beverly Enterprises - Illinois, Inc.
NPI #1275628448 in Wood River, Illinois
Provider Information
- NPI Number
- 1275628448
- Entity Type
- Organization
- Organization Name
- Beverly Enterprises - Illinois, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 393 E EDWARDSVILLE RD
- City
- Wood River
- State
- Illinois
- ZIP Code
- 62095-1646
- Phone
- (618) 259-4111
Authorized Official
- Name
- DAVID MERRELL
- Title
- VICE PRESIDENT
- Phone
- (479) 201-4840
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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