| NPI Details | |
|---|---|
| NPI | 1255358198 |
| Enumeration Date | 07/16/2006 |
| Last Updated | 04/20/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | SUZANNE SUZANNE |
| Position | PRESIDENT |
| Phone | (815) 369-4561 |
| Fax | |
| Practice Location | |
|---|---|
| 1010 S LOGAN ST LENA IL, 61048-9566, US |
|
| Phone | (815) 369-4561 |
| Fax | |
| Business Location | |
|---|---|
| 1010 S LOGAN ST LENA IL, 61048-9566, US |
|
| Phone | (815) 369-4561 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 314000000X |
| License State | Illinois |
| License Number | 0047746 |
| Remove 1255358198 NPI Number | |
According to our database, Lena Living Center, Llc NPI is 1255358198, taxonomy code is 314000000X and license number is 0047746, license state is located at Illinois. Lena Living Center, Llc physically located at 1010 S Logan St, Lena IL, 61048-9566. NPI Number 1033115704 has the healthcare provider type.
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1255358198 NPI number is provided on an as is basis without warranty of any kind. 1255358198 is maintained by the National Plan & Provider Enumeration System. The contents of Lena Living Center, Llc are for informational purposes only.
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