Springfield Terrace, Ltd
NPI #1902804305 in Springfield, Illinois
Provider Information
- NPI Number
- 1902804305
- Entity Type
- Organization
- Organization Name
- Springfield Terrace, Ltd
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jul 8, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 525 S MARTIN LUTHER KING JR DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703-1317
- Phone
- (217) 789-1680
Authorized Official
- Name
- MR. MELVIN SIEGEL
- Title
- PRESIDENT
- Phone
- (847) 679-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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