Shelbyville Hco, LLC
NPI #1518990704 in Shelbyville, Illinois
Provider Information
- NPI Number
- 1518990704
- Entity Type
- Organization
- Organization Name
- Shelbyville Hco, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 9, 2006
- Last Updated
- Sep 9, 2020
Practice Location
- Address
- 2116 SOUTH 3RD STREET
- City
- Shelbyville
- State
- Illinois
- ZIP Code
- 62565
- Phone
- (217) 774-2128
Authorized Official
- Name
- MARK B. PETERSEN
- Title
- MANAGER
- Phone
- (309) 689-5880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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