John C. Proctor Endowment

NPI #1932367836 in Peoria, Illinois

Provider Information

NPI Number
1932367836
Entity Type
Organization
Organization Name
John C. Proctor Endowment
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 28, 2008
Last Updated
May 28, 2008

Practice Location

Address
2724 W RESERVOIR BLVD
City
Peoria
ZIP Code
61615-4137
Phone
(309) 566-4292

Authorized Official

Name
MR. JOHN G SAHN
Title
ADMINISTRATOR/CEO
Phone
(309) 685-6580

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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