East Peoria Gardens Healthcare
NPI #1699810093 in East Peoria, Illinois
Provider Information
- NPI Number
- 1699810093
- Entity Type
- Organization
- Organization Name
- East Peoria Gardens Healthcare
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 21, 2007
- Last Updated
- Jul 22, 2008
Practice Location
- Address
- 1910 SPRINGFIELD RD
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-4343
- Phone
- (847) 329-1555
Authorized Official
- Name
- DEBBIE SPECTOR-MAMMOSER
- Title
- MEDICARE SUPERVISOR
- Phone
- (847) 329-1555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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