Organization
HELIA HEALTHCARE OF ENERGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN P. MILLER (MEMBER)
(312) 994-2306
Entity
Organization
Contact information
Practice address
210 COLLEGE, ENERGY, IL 62933
(618) 942-7014
Mailing address
210 E COLLEGE ST, ENERGY, IL 62933-3568
(312) 994-2306
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
0046672
IL
314000000X
Skilled Nursing Facility
Primary
0046672
IL
315P00000X
Intellectual Disabilities Intermediate Care Facility
0046672
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046672
FACILITY LICENSE NUMBER
IL
Enumeration date
07/07/2005
Last updated
02/27/2013
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