Bridgemark Of Greenville, Llc

NPI 1386641272 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1386641272
Enumeration Date 07/07/2005
Last Updated 04/29/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name STEPHEN P STEPHEN
Position MEMBER
Phone (618) 664-1622
Fax
Practice Location
400 E HILLVIEW AVE
GREENVILLE IL, 62246-2607, US
Phone (618) 664-1622
Fax
Business Location
400 E HILLVIEW AVE
GREENVILLE IL, 62246-2607, US
Phone (618) 664-1622
Fax
Toxanomy
Taxonomy Code 313M00000X
License State Illinois
License Number 0046680
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According to our database, Bridgemark Of Greenville, Llc NPI is 1386641272, taxonomy code is 313M00000X and license number is 0046680, license state is located at Illinois. Bridgemark Of Greenville, Llc physically located at 400 E Hillview Ave, Greenville IL, 62246-2607. NPI Number 1033115704 has the healthcare provider type.

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1386641272 NPI number is provided on an as is basis without warranty of any kind. 1386641272 is maintained by the National Plan & Provider Enumeration System. The contents of Bridgemark Of Greenville, Llc are for informational purposes only.