Effingham Hco, LLC

NPI #1508499765 in Effingham, Illinois

Provider Information

NPI Number
1508499765
Entity Type
Organization
Organization Name
Effingham Hco, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 17, 2020
Last Updated
Feb 17, 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) 691-8113

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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