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
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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