Evergreen Streator, L.p.

NPI #1295980852 in Streator, Illinois

Provider Information

NPI Number
1295980852
Entity Type
Organization
Organization Name
Evergreen Streator, L.p.
Primary Specialty
Assisted Living Facility
Enumeration Date
Nov 24, 2008
Last Updated
Nov 24, 2008

Practice Location

Address
1529 E MAIN ST
ZIP Code
61364-3162
Phone
(815) 672-0903

Authorized Official

Name
MR. CRAIG L. ATER
Title
SENIOR V.P. OF FINANCE
Phone
(309) 828-4361

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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