Lincoln Village Healthcare Center LLC

NPI #1770150179 in Lincoln, Illinois

Provider Information

NPI Number
1770150179
Entity Type
Organization
Organization Name
Lincoln Village Healthcare Center LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 6, 2021
Last Updated
Jun 6, 2021

Practice Location

Address
2202 N KICKAPOO ST
ZIP Code
62656-1306
Phone
(217) 735-1538

Authorized Official

Name
SHERWIN IRA RAY
Title
MANAGER
Phone
(847) 922-0700

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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