Westside Hco, LLC

NPI #1437782612 in West Frankfort, Illinois

Provider Information

NPI Number
1437782612
Entity Type
Organization
Organization Name
Westside Hco, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 17, 2020
Last Updated
May 13, 2020

Practice Location

Address
601 N COLUMBIA ST
ZIP Code
62896-1859
Phone
(618) 932-2109

Authorized Official

Name
MARK B. PETERSEN
Title
MANAGER
Phone
(309) 691-8113

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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