Lincoln Trail Place Limited Parternership
NPI #1639513963 in Charleston, Illinois
Provider Information
- NPI Number
- 1639513963
- Entity Type
- Organization
- Organization Name
- Lincoln Trail Place Limited Parternership
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 17, 2013
- Last Updated
- Apr 17, 2013
Practice Location
- Address
- 480 W POLK AVE
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-3291
- Phone
- (217) 345-4900
Authorized Official
- Name
- MR. GLENN GENTRY
- Title
- ADMINISTRATOR
- Phone
- (217) 345-4900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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| West Central Illinois Housing Associates, LP |
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