Beardstown Supportive Living LLC
NPI #1689355109 in Beardstown, Illinois
Provider Information
- NPI Number
- 1689355109
- Entity Type
- Organization
- Organization Name
- Beardstown Supportive Living LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 27, 2023
- Last Updated
- Jul 27, 2023
Practice Location
- Address
- 8570 SAINT LUKES DR
- City
- Beardstown
- State
- Illinois
- ZIP Code
- 62618-9200
- Phone
- (217) 323-1860
Authorized Official
- Name
- SHAI BERDUGO
- Title
- AUTHORIZED OFFICIAL
- Phone
- (217) 323-1860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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