Oak Terrace Healthcare Center, Inc.
NPI #1659497774 in Springfield, Illinois
Provider Information
- NPI Number
- 1659497774
- Entity Type
- Organization
- Organization Name
- Oak Terrace Healthcare Center, Inc.
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Jun 26, 2008
Practice Location
- Address
- 1750 W WASHINGTON ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-4759
- Phone
- (217) 787-6466
Authorized Official
- Name
- MR. KELLY E SMITH
- Title
- OWNER OPERATOR
- Phone
- (913) 362-4942
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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