Grand Victorian of Sterling Master Lessee, LLC
NPI #1558512723 in Sterling, Illinois
Provider Information
- NPI Number
- 1558512723
- Entity Type
- Organization
- Organization Name
- Grand Victorian of Sterling Master Lessee, LLC
- Primary Specialty
- Point of Service
- Enumeration Date
- Oct 7, 2008
- Last Updated
- Oct 7, 2008
Practice Location
Authorized Official
- Name
- JOHN HOLTZ
- Title
- CONTROLLER
- Phone
- (541) 747-3373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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