Stonebridge Senior Living Center, LLC

NPI #1427186451 in Benton, Illinois

Provider Information

NPI Number
1427186451
Entity Type
Organization
Organization Name
Stonebridge Senior Living Center, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Mar 1, 2007
Last Updated
Feb 14, 2017

Practice Location

Address
902 S MCLEANSBORO ST
City
Benton
ZIP Code
62812-3413
Phone
(618) 439-4501

Authorized Official

Name
MR. SCOTT E. STOUT
Title
MANAGER
Phone
(618) 713-5284

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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