Beverly Enterprises - Illinois, Inc.

NPI #1699868257 in Godfrey, Illinois

Provider Information

NPI Number
1699868257
Entity Type
Organization
Organization Name
Beverly Enterprises - Illinois, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 2, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1623 W. DELMAR
Address 2
#29
ZIP Code
62035
Phone
(618) 466-0443

Authorized Official

Name
DAVID MERRELL
Title
VICE PRESIDENT
Phone
(479) 201-4840

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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