Organization
EAST PEORIA NH LLC
Active
Other names
River Crossing of East Peoria
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MASON (PRESIDENT)
(813) 347-7425
Entity
Organization
Contact information
Practice address
900 CENTENNIAL DR, EAST PEORIA, IL 61611-4928
(309) 699-5400
(309) 699-1632
Mailing address
900 CENTENNIAL DR, EAST PEORIA, IL 61611-4928
(309) 699-5400
(309) 699-1632
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
06/25/2021
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