Prairie View Care Center Of Charleston, Inc.

NPI 1013978675 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1013978675
Enumeration Date 03/31/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRADLEY BRADLEY
Position CEO
Phone (217) 345-7054
Fax (317) 348-1264
Practice Location
716 18TH ST
CHARLESTON IL, 61920-2382, US
Phone (217) 345-7054
Fax (317) 348-1264
Business Location
3856 OAKTON ST
SUITE 200
SKOKIE IL, 60076-3454, US
Phone (847) 674-4700
Fax (847) 674-4733
Toxanomy
Taxonomy Code 314000000X
License State Illinois
License Number 0040311
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According to our database, Prairie View Care Center Of Charleston, Inc. NPI is 1013978675, taxonomy code is 314000000X and license number is 0040311, license state is located at Illinois. Prairie View Care Center Of Charleston, Inc. physically located at 716 18th St, Charleston IL, 61920-2382. NPI Number 1033115704 has the healthcare provider type.

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1013978675 NPI number is provided on an as is basis without warranty of any kind. 1013978675 is maintained by the National Plan & Provider Enumeration System. The contents of Prairie View Care Center Of Charleston, Inc. are for informational purposes only.