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Organization

ACCOLADE HEALTHCARE OF GIBSON CITY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOSHE FREEDMAN (MANAGER)
(217) 784-4257
Entity
Organization

Contact information

Practice address
620 E 1ST ST, GIBSON CITY, IL 60936-1822
(217) 784-4257
Mailing address
9433 OLIVE BLVD # 100, SAINT LOUIS, MO 63132-3132

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
04/11/2023
Last updated
04/11/2023
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