Effingham Hco, LLC

NPI #1336249614 in Effingham, Illinois

Provider Information

NPI Number
1336249614
Entity Type
Organization
Organization Name
Effingham Hco, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 25, 2006
Last Updated
Sep 29, 2020

Practice Location

Address
1610 N LAKEWOOD DR
ZIP Code
62401-1866
Phone
(217) 347-7781

Authorized Official

Name
MARK B. PETERSEN
Title
MANAGER
Phone
(309) 689-5880

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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