Eden Retirement Center, Inc.

NPI 1073652921 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1073652921
Enumeration Date 02/06/2007
Last Updated 12/12/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELIZABETH A ELIZABETH
Position EXECUTIVE DIRECTOR
Phone (618) 288-5014
Fax (618) 288-0206
Practice Location
400 S STATION RD
GLEN CARBON IL, 62034-2743, US
Phone (618) 288-5014
Fax (618) 288-0206
Business Location
400 S STATION RD
GLEN CARBON IL, 62034-2743, US
Phone (618) 288-5014
Fax (618) 288-0206
Toxanomy
Taxonomy Code 314000000X
License State Illinois
License Number 0023382
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According to our database, Eden Retirement Center, Inc. NPI is 1073652921, taxonomy code is 314000000X and license number is 0023382, license state is located at Illinois. Eden Retirement Center, Inc. physically located at 400 S Station Rd, Glen Carbon IL, 62034-2743. NPI Number 1033115704 has the healthcare provider type.

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1073652921 NPI number is provided on an as is basis without warranty of any kind. 1073652921 is maintained by the National Plan & Provider Enumeration System. The contents of Eden Retirement Center, Inc. are for informational purposes only.